
Revenue Cycle Management Specialist
7 days ago
We are seeking a skilled and experienced revenue cycle management professional to join our team. The ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue cycle operations within the U.S. healthcare system.
Key Responsibilities:- Design and implement training programs tailored for professionals with an accounting background.
- Conduct live and virtual training sessions covering medical billing, coding, claims processing, AR management, and compliance.
- Develop training materials, case studies, and practical exercises to enhance learning outcomes.
- Utilize Learning Management Systems (LMS) and revenue cycle management software for hands-on training.
- Teach insurance claims processing, denials management, payment posting, and AR follow-up.
- Instruct on ICD-10, CPT, and HCPCS coding basics and their integration into revenue cycle workflows.
- Explain Medicare, Medicaid, and private insurance reimbursement policies for the U.S. market.
- Guide learners in revenue cycle performance metrics (Net Collection Rate, AR Days, First-Pass Resolution).
Education and Certification:
- Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Management, or related field.
- At least one industry certification (preferred): CRC, CPB, CHF, CMR, CMRS, or equivalent.
- 5+ years of experience in medical billing, revenue cycle management, healthcare finance, or claims processing for the U.S. healthcare system.
- Experience in training, mentoring, or teaching revenue cycle-related topics is highly preferred.
- Hands-on experience with revenue cycle management software, EHR, and practice management systems (e.g., Epic, Cerner, Kareo, Medisoft).
- Competitive salary and performance-based incentives.
- Professional development opportunities.
- Flexible work schedule (if applicable).
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