Trainer

Clear Destination Inc.; Manila; On-site; PHP 300,000 - 600,000; Full time

Job summary

Clear Destination Inc. in Manila is seeking a Trainer to run medical billing and revenue cycle management training for forensic billers. You will develop curricula, live training, and materials, ensuring HIPAA compliance and up-to-date knowledge.

You will conduct denials and appeals workflows, coordinate with quality, and support new hires and existing staff with ongoing training. This role is based in Manila with standard office hours.

Qualifications

• Experience in training or teaching roles (1+ year).
• 2+ years in medical billing or revenue cycle management, focusing on AR and denials.
• In-depth understanding of claim denials and appeals processes.
• Certifications in billing/coding are advantageous.
• Supervisory experience is a plus and leadership skills are valued.
• Willingness to work extended hours and adapt to changing workloads.

Responsibilities

• Develops curriculum, training syllabus, and course modules for Medical Billing and Revenue Cycle Management.
• Develop basic account navigation workflows for billing systems (Epic, Athena) and tools (Encoder Pro, CCI Edit).
• Develops denials workflow for common denials (e.g., Duplicate, Timely Filing).
• Creates guidelines for payer policies for US health insurance payers.
• Updates training modules and coordinates with quality to identify process improvements.
• Produces training materials and examinations for Medical Billing, Denials, and processes.

Skills

Team collaboration

Strong communication

Problem solving

multitasking

HIPAA knowledge

Microsoft Office

Education

Certified Professional Biller (CPB)

Coding Certifications CPC/CCS/COC

Tools

Epic

Athena

Encoder Pro

CCI Edit

Job description

Job Purpose

The Trainer is responsible for conducting medical billing, claim denials & appeals, revenue cycle management training programs for new and existing forensic billers. Performs actual medical billing & claim denials work for existing accounts on a regular basis to keep an up-to-date knowledge of the process. Participates in process implementation during account take offs or go-live.

Duties and Responsibilities

• Develops curriculum, training syllabus, and course modules related to Medical Billing (US Health Insurance, Claims Process, Denials & Appeals, Revenue Cycle Management)
• Develop basic account navigation workflow of billing system for both HP and PB (Epic, Athena) and other system tools (Encoder Pro, CCI Edit) used by the department
• Develops denials process workflow for common denials (Duplicate, Timely Filing, No Prior- Auth, Medical Necessity, etc.)
• Develops a guideline for common payer policies for US health insurance payers
• Update and improve existing training and process modules
• Coordinate with forensic quality department to identify areas for process improvement and produce materials for claim edits, denials workflow, systems & process training from client
• Develops and produces materials for Medical Billing, Denials, systems and process exercises and qualifying examinations
• Updates weekly deck (performance and attendance for training meeting)
• Participates in weekly training meetings with the upper management
• Collaborates with billing operations managers, supervisors, and quality to resolve issues that impact internal and external customers
• Develops and conducts Call/Phone Handling Training for the new hires and existing forensic billers
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• Previous training work experience of at least a year
• Minimum of 2 years of medical billing or revenue cycle management experience specific to AR and Denials Management or provider side of the healthcare insurance industry
• In-depth understanding of claim denials
• CPB and Coding Certification (CPC, CCS, COC) is an advantage
• Supervisory experience preferred; demonstrated leadership skills
• Willingness and flexibility to work extended hours
• Knowledge of general computer applications and ability to multitask on two monitors.
• Ability to work in a team fostered environment and have the willingness to adjust to changing job responsibilities, shifting schedules, new procedures and unexpected workloads and stresses
• Assertive self-starter who can work independently, yet function in a team environment
• Good interpersonal and other training soft skills
• An understanding and strict adherence to all HIPAA regulations
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.