RCM Trainer | Nightshift | Hybrid

Hammerjack Pty Ltd; Philippines; Hybrid; PHP 1,200,000 - 1,800,000; Full time

Job summary

Hammerjack Pty Ltd in the Philippines seeks an experienced RCM Trainer– Medical Billing to lead end-to-end revenue cycle management, ensuring compliance and optimized cash flow in a hybrid work setting with night shifts.

You will mentor billing teams, resolve complex denials, and provide payer-specific expertise across Medicare, Medicaid, and Commercial plans while enhancing processes and training materials.

Qualifications

• Minimum 5–8+ years in medical billing / revenue cycle management.
• Proven experience in end-to-end billing processes across the lifecycle.
• Prior experience as SME / Team Lead / Quality Analyst preferred.
• Certifications such as CPC, CCS/CCS-P, RHIT or RHIA are advantageous.

Responsibilities

• Own and oversee the full billing lifecycle, ensuring accuracy and compliance.
• Serve as SME and manage escalations for complex billing issues.
• Analyze denials and AR to drive recovery and preventive actions.
• Train and mentor billing teams on end-to-end RCM, denial strategies and coding best practices.

Skills

End-to-end RCM

Denial management

Payer adjudication

EHR/EMR knowledge

Education

CPC

CCS/CCS-P

RHIT/RHIA

Tools

EHR/EMR systems

AR tools

Billing platforms

Job description

RCM Trainer– Medical Billing | Hybrid | Nightshift

Setup: Hybrid (6 weeks training onsite 2 days per month after)

Schedule: 8PM-5AM MNL

The RCM Trainer 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