RCM Trainer (Medical Billing) | Hybrid | Nightshift

ATOS Information Technology Inc.

Philippines

On-site

PHP 600,000 - 1,200,000

Full time

9 days ago
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Job summary

ATOS Information Technology Inc. in Taguig City, Philippines, seeks a Medical Billing SME with 5–8+ years in healthcare revenue cycle management to own end-to-end billing lifecycle, including verification, coding, claims submission, and denial handling. The role emphasizes SME leadership, process improvements, and payer-specific expertise.

The position requires onsite work with 6 weeks of training, potential return-to-office twice monthly, and a focus on optimizing billing accuracy and cash flow.

Qualifications

  • 5–8+ years in medical billing / revenue cycle management
  • Certifications CPC/CCS/CCS-P/RHIT/RHIA preferred
  • Experience as SME/Team Lead/Quality Analyst preferred

Responsibilities

  • Oversee and optimize the end-to-end billing lifecycle
  • Manage escalations and provide SME guidance on complex issues
  • Analyze denials, perform root-cause analysis, and drive AR recovery
  • Train and mentor billing teams on RCM processes and best practices

Skills

End-to-end RCM
Medical billing
Denial management
Payer adjudication
Leadership/ SME experience
EHR/EMR systems

Education

CPC
CCS/CCS-P
RHIT/RHIA

Tools

EHR/EMR platforms
Billing platforms
AR tools

Job description

Shift Schedule: Nightshift (8PM-5AM)

Work Setup: (Onsite 6 weeks training, 2X RTO per month after)

Location: SH1 Mckinley, Taguig City

The Medical Billing SME is responsible for providing deep domain expertise across the end-to-end medical billing lifecycle, ensuring accurate, compliant, and efficient revenue cycle operations. The role acts as the go-to authority for complex billing scenarios, process optimization, and escalations, driving improvements in billing accuracy, denial reduction, and cash flow.

Key Responsibilities
End-to-End Revenue Cycle Ownership
  • Oversee and support the entire billing lifecycle:
    • Patient registration & insurance verification
    • Charge capture & medical coding (ICD-10, CPT, HCPCS)
    • Claims preparation, scrubbing, and submission
SME & Escalation Management
  • Handle complex and escalated billing issues, including denied or rejected claims
  • Perform root cause analysis of billing discrepancies and payer rejections
  • Provide payer-specific expertise (Medicare, Medicaid, Commercial)
Denials & AR Optimization
  • Analyze and resolve denied claims, ensuring timely re-submission and recovery
  • Identify trends in denials and implement preventive measures
Training & Knowledge Leadership
  • Train and mentor billing teams on:
    • End-to-end RCM processes
    • Denial management strategies
    • Coding and billing best practices
Qualifications & Experience
  • Minimum 5–8+ years in medical billing / revenue cycle management
  • Proven experience in end-to-end billing processes
  • Prior experience as SME / Team Lead / Quality Analyst preferred
  • Certifications (preferred but not mandatory):
    • CPC (Certified Professional Coder)
    • CCS / CCS-P
    • RHIT / RHIA
Technical Skills
  • Strong knowledge of:
    • Medical billing lifecycle (E2E RCM)
    • ICD-10, CPT, HCPCS coding frameworks
    • Claims processing and payer adjudication
  • Experience with:
    • EHR/EMR systems and billing platforms
    • Denial management and AR tools
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