About the role
The Collections Manager will lead the daily operations of the healthcare collections department from our office-based location in Ortigas, Pasig, Philippines. This role is responsible for maximising reimbursement, reducing accounts receivable, resolving outstanding insurance and patient balances, and driving revenue cycle performance. The position provides leadership, coaching, and performance management to the collections team while partnering with internal departments and external stakeholders. This is a night-shift position with weekends off and reports to the Senior Director of Collections.
Key responsibilities
- Lead, manage, and develop the collections team to achieve departmental productivity, quality, and financial goals.
- Monitor accounts receivable ageing, denial trends, payer follow-up, and collection activities to maximise reimbursement and reduce outstanding balances.
- Establish performance expectations, monitor key performance indicators, and conduct regular coaching, performance reviews, and corrective action when required.
- Analyse collection metrics, denial data, and payer trends to identify process improvement opportunities and increase cash collections.
- Develop and implement collection strategies that improve recovery rates while maintaining compliance with payer, client, and regulatory requirements.
- Oversee the escalation of complex payer issues, appeals, underpayments, and unresolved claims.
- Ensure adherence to company policies, HIPAA regulations, payer guidelines, and revenue cycle best practices.
- Collaborate with Billing, Credentialing, Client Success, Payment Posting, Revenue Integrity, and Executive Leadership to resolve operational issues affecting reimbursement.
- Develop, maintain, and update departmental workflows, standard operating procedures, and training materials.
- Conduct regular quality audits to ensure accuracy, consistency, and compliance within collection activities.
- Prepare and present performance reports, operational updates, and collection trends to senior leadership.
- Participate in client meetings to discuss collection performance and identify improvement opportunities.
- Support the implementation of new clients, systems, payer initiatives, and process improvements.
- Drive initiatives that improve efficiency, automation, employee engagement, and overall revenue cycle performance.
- Perform other duties as assigned.
What we're looking for
- At least 5 years of progressive experience in medical billing, insurance collections, or revenue cycle management.
- At least 3 years of management or supervisory experience leading healthcare collections teams.
- Extensive knowledge of healthcare revenue cycle processes, including insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable management.
- Strong understanding of commercial insurance, Medicare, Medicaid, Workers' Compensation, Managed Care, and government payer guidelines.
- Experience analysing collection metrics, key performance indicators, productivity reports, and financial performance data.
- Demonstrated ability to lead teams through change while improving productivity, employee engagement, and operational performance.
- Strong coaching, mentoring, conflict resolution, employee development, analytical, organisational, and problem-solving skills.
- Excellent verbal and written communication skills, with the ability to communicate effectively across all organisational levels.
- Experience using electronic health records, practice management systems, clearinghouses, and revenue cycle software.
- Knowledge of HIPAA, healthcare compliance regulations, and payer contractual requirements.
- Healthcare industry experience is required; Home Health billing experience is preferred.
- Experience with reporting tools and Microsoft Excel for data analysis is preferred.
- Proficiency in Microsoft Office Suite, including Outlook, Word, and Excel.
- Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field.
- Equivalent combinations of education and relevant experience may be considered.
Education and Qualifications:
- Bachelor's degree in business administration, Healthcare Administration, Finance, or a related field required
- Demonstrated leadership experience managing healthcare collections or revenue cycle operations required
- An equivalent combination of education and relevant experience may be considered.
Work Setup
- Location: Office-based, Philippines (Ortigas, Pasig)
- Schedule: Night shift, weekends off