Revenue Cycle Training Specialist

Duties and Responsibilities

• Lead external training programs for client facility billing teams, including new implementations and ongoing education.
• Teach billing fundamentals from the ground up, including patient accounts, claim creation, charge capture, and reimbursement workflows.
• Deliver advanced training on claims follow-up, denial management, and claims escalation strategies.
• Provide hands-on instructions in Direct Data Entry (DDE) and other billing systems as applicable.
• Educate clients on Medicare, Medicaid, and commercial payer policies, including regulatory updates and compliance requirements.
• Serve as a subject matter expert and resource for client billing questions, issues, and workflow optimization.
• Partner with client leadership to identify knowledge gaps and develop targeted training plans.
• Aid in internal staff training, onboarding, and ongoing education initiatives.
• Support internal claims escalation efforts, including research, resolution strategies, and payer communication.
• Develop and maintain training materials, job aids, and curriculum tailored to client and internal needs.
• Collaborate with RCM leadership and quality teams to address trends identified through audits and performance metrics.
• Build strong relationships with clients to ensure training effectiveness and long-term success.
• Utilize various training methods (virtual sessions, live demonstrations, job shadowing, etc.) to enhance learning outcomes.
• Track and report on training effectiveness, competency, and client progress.

Knowledge, Skills and Abilities

• Strong expertise in healthcare billing, including hospital and/or rural health clinic (RHC) or critical access hospital (CAH) environments.
• In-depth knowledge of: Medicare and Medicaid billing rules and regulations, Commercial payer policies, Claims lifecycle and denial management, and Direct Data Entry (DDE) systems.
• Proven ability to teach both beginner-level and advanced billing concepts.
• Experience with claims, escalation, appeals, and payer communication.
• Strong presentation, facilitation, and communication skills (verbal and written).
• Ability to translate complex billing processes into clear, understandable training.
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Teams).
• Experience with EHR systems such as Meditech, CPSI, EPIC, and Cerner, and clearinghouses, such as SSI, Trubridge, and Inovalon.
• Knowledge of individual payer portals.
• Excellent critical thinking, problem-solving, and organizational skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong interpersonal skills with the ability to build trust with both clients and internal teams.

Working Conditions and Physical Requirements

• 100% remote
• No travel required