RCM Trainer | Nightshift | Hybrid

Hammerjack Pty Ltd

Taguig

Hybrid

PHP 900,000 - 1,500,000

Full time

4 days ago
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Job summary

Hammerjack Pty Ltd is seeking an RCM Trainer– Medical Billing to own the full revenue cycle lifecycle. This hybrid, night‑shift role focuses on ensuring accuracy, compliance, and efficient cash flow across patient registration, coding, claims submission, and denial prevention.

The trainer leads training and mentoring of billing teams, analyzes denials for root causes, and provides payer‑specific expertise (Medicare/Medicaid/Commercial).

Qualifications

  • 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, CCS/CCS‑P, RHIT/RHIA.

Responsibilities

  • End‑to‑End Revenue Cycle Ownership across billing lifecycle.
  • SME & Escalation Management for complex claims and denials.
  • Denials & AR Optimization to improve cash flow.
  • Training & Knowledge Leadership for billing teams.

Skills

End-to-end RCM
Denial management
Payer adjudication
Team leadership
Training & mentoring

Education

CPC (Certified Professional Coder)
CCS / CCS-P
RHIT / RHIA

Tools

EHR/EMR systems
Billing platforms
AR tools

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
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