DME Healthcare Operations Lead - RCM & Process Excellence

Zohorecruit; Makati; On-site; PHP 1,200,000 - 1,800,000; Full time

Job summary

iScale Solutions in Makati, Philippines, is expanding its DME and U.S. healthcare back-office capabilities. We seek an experienced DME/Healthcare Back Office Operations Manager to lead and develop the team across patient intake, eligibility verification, prior authorization, billing, and revenue cycle management.

The role requires 3–5+ years in U.S. healthcare operations, at least 2 years in leadership, strong knowledge of DME workflows and payer requirements, and proven coaching and

Qualifications

• 3–5+ years of U.S. healthcare operations experience, preferably within DME/HME, medical billing, or Revenue Cycle Management.
• At least 2 years of leadership experience managing healthcare operations, Team Leaders, or specialized healthcare teams.
• Strong understanding of DME workflows, Medicare, Medicaid, commercial insurance, eligibility verification, prior authorization, claims, AR, and denials.
• Experience managing KPIs, SLAs, quality, productivity, staffing, and client performance reporting.
• Strong client-facing communication, analytical, problem-solving, and decision-making skills.
• Experience with DME/healthcare platforms such as Brightree, Parachute Health, NikoHealth, Availity, EMR/EHR systems, or similar platforms is an advantage.

Responsibilities

• Lead day-to-day DME and healthcare back-office operations, ensuring service quality, productivity, accuracy, and timely delivery.
• Oversee workflows covering patient intake, order processing, eligibility and benefits verification, prior authorization, documentation, billing, AR, claims, denials, and appeals.
• Ensure teams follow client requirements, payer guidelines, documentation standards, and established healthcare processes.
• Manage team performance against KPIs, SLAs, quality, productivity, attendance, and capacity targets.
• Coach Team Leaders and Specialists and establish performance improvement and development plans.
• Serve as a primary operational point of contact for clients and internal stakeholders.
• Analyze operational trends, identify risks and bottlenecks, and implement process improvements.
• Support recruitment, training, onboarding, workforce planning, and development of DME talent.
• Develop and maintain SOPs, workflows, quality controls, reporting, and operational governance.
• Partner with leadership on new client implementations, transitions, and expansion of healthcare services.

Skills

U.S. healthcare operations

Leadership experience

DME/HME knowledge

KPIs & SLAs management

Client-facing communication

Analytical and problem-solving

Decision making

Healthcare IT platforms experience

Tools

Brightree

Parachute Health

NikoHealth

Availity

EMR/EHR systems

Job description

iScale Solutions in Makati, Philippines, is expanding its DME and U.S. healthcare back-office capabilities. We seek an experienced DME/Healthcare Back Office Operations Manager to lead and develop the team across patient intake, eligibility verification, prior authorization, billing, and revenue cycle management.

The role requires 3–5+ years in U.S. healthcare operations, at least 2 years in leadership, strong knowledge of DME workflows and payer requirements, and proven coaching and