The posting
Job Purpose The Training Manager - Revenue Cycle Management (RCM) is responsible for designing, developing, and implementing comprehensive training programs to enhance the efficiency, knowledge, and skills of the revenue cycle team. This role ensures that all staff members are properly trained in revenue cycle management processes, including billing, collections, coding, compliance, patient intake, insurance verification, and denial management. The RCM Training Manager also works closely with leadership to identify training needs and improve operational performance through ongoing education and development initiatives. Duties and Responsibilities
Training Program Development
Design and implement training programs for new and existing employees focused on various revenue cycle functions such as patient registration, coding, billing, claims processing, collections, and denial management. Develop training materials, manuals, and standard operating procedures (SOPs) for revenue cycle processes. Use a variety of training methods (e.g., instructor-led, e-learning, hands-on) to accommodate different learning styles.
Staff Training and Development
Conduct training sessions for new hires, ensuring they are equipped with the skills and knowledge needed to succeed in their roles. Provide ongoing education and development for existing staff to ensure they remain current on changes in healthcare regulations, billing procedures, and best practices. Evaluate training effectiveness and modify programs as needed to enhance learning outcomes.
Performance and Process Improvement
Collaborate with the RCM leadership team to identify areas of improvement within the revenue cycle processes and develop training interventions accordingly. Work with supervisors and managers to identify knowledge gaps and training needs based on performance metrics. Implement process improvements that align with industry best practices to optimize revenue cycle operations.
Compliance and Standards
Ensure that all training programs are aligned with relevant regulations and standards, including HIPAA, CMS guidelines, and other federal and state healthcare compliance requirements. Stay informed about industry trends, regulatory changes, and updates to coding systems (e.g., ICD-10, CPT, HCPCS).
Team Leadership and Collaboration
Lead a team of trainers, if applicable, and provide coaching and guidance to ensure high-quality training delivery. Collaborate with other departments, including IT, Finance, and Compliance, to ensure training aligns with organizational goals. Serve as a subject matter expert on RCM processes, providing support to employees as needed. Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Qualifications
10+ years overall experience in RCM & Healthcare. 3+ years of experience in training Leadership or instructional design role, preferably in healthcare. Experience with revenue cycle management software (e.g., Epic, Cerner, Meditech, or similar). Experience with compliance, payer rules, and billing regulations in the healthcare sector. In-depth understanding of the full revenue cycle, including patient access, insurance verification, coding, billing, collections, and denial management. Proficiency in adult learning principles and training techniques. Strong project management skills with the ability to manage multiple training initiatives simultaneously. Excellent communication and presentation skills, with the ability to convey complex concepts in an easily understandable manner. Knowledge of healthcare regulations, including HIPAA, CMS guidelines, and other federal and state compliance requirements. Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) and learning management systems (LMS).
Preferred Qualifications
Certified Revenue Cycle Representative (CRCR). Previous experience in a healthcare or hospital setting. Experience in change management and process improvement methodologies (e.g., Lean, Six Sigma). Bachelor’s degree in a medical-allied field.
Working Conditions
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.
