Healthcare Billing Specialist

4 days ago

Manila, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year

Revenue Cycle Management Specialist Trainer (Healthcare Billing)

Key Responsibilities:

  • Lead the successful setup and management of the RCM training function.
  • Train new hires, tenured staff, and experienced professionals across all backend RCM processes.
  • Deliver engaging training sessions through classroom, virtual, e-learning, and hands-on methods.
  • Conduct monthly training needs analysis (TNA) and performance reviews to identify skill gaps.
  • Monitor batch performance and ensure 100% productivity readiness.
  • Manage bottom quartile performers through targeted coaching and retraining.
  • Design and implement effective training content, curriculum, and automation tools.
  • Collaborate with operations, quality, and leadership teams to align training with business goals.
  • Stay updated with industry best practices and continuously improve training programs.
  • Support credentialing and onboarding processes for new hires.
  • Gain hands-on experience by working on live accounts to enhance experiential training.
  • Develop end-to-end understanding of new and existing RCM processes and update training materials accordingly.
  • Align training delivery with company/client culture, mission, vision, and values.
  • Facilitate both in-person and virtual training sessions effectively.
  • Adhere to company policies, work flexibility guidelines, and evolving business directives.

Required Qualifications:

  • 5+ years of experience in US healthcare revenue cycle management (RCM), including acute and ambulatory billing.
  • Strong background in denial management, appeal writing, and claims resolution.
  • Hands-on experience as an Accounts Receivable (AR) Representative with proven training impact.
  • Deep understanding of UB04 claim forms, inpatient coding, revenue codes, and regulatory compliance.
  • Familiarity with Medicare, Medicaid, and commercial insurance guidelines.
  • Expertise in DRG classifications, bundled payment models, and inpatient reimbursement.
  • Proficient in interpreting ICD-10, CPT, HCPCS codes and medical records.
  • Strong analytical skills to identify root causes and drive faster AR resolution.
  • Experience supporting multiple geographies (US, Puerto Rico, Philippines, India).
  • Excellent communication, leadership, and problem-solving skills.

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