Healthcare Billing QC Analyst - Process Optimization

PwC Acceleration Center Manila; Quezon City; On-site; PHP 400,000 - 700,000; Full time

Job summary

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Hospital Billing). You will engage with clients to analyze operational processes, identify improvement opportunities, and develop strategies to enhance productivity and quality across healthcare billing workflows.

As an Associate, you will learn through hands-on client engagements, collaborate across geographies and teams, and contribute to delivering value while expanding your technical knowledge of firm services and

Qualifications

• Bachelor's degree required.
• 1–4 years of experience in related field.
• Oral and written proficiency in English required.
• Experience coding denials, QA, or training.
• Strong knowledge of medical billing and insurance reimbursement.
• Experience with healthcare billing software and Microsoft Office.

Responsibilities

• Analyze client operational processes to identify improvements and boost productivity.
• Develop and implement strategies for operational excellence and optimization.
• Collaborate with clients to streamline processes and improve performance.
• Apply automation and new technologies to drive efficiency.
• Conduct operational analysis to support decisions and planning.
• Use process mapping and execution methods to enhance workflows.
• Support implementing technology solutions to optimize performance.
• Engage in business process improvements to achieve cost efficiency and competitive edge.
• Gather and interpret data to inform strategies; participate in project management to deliver quality work.

Skills

English proficiency

Healthcare domain knowledge

Process improvement mindset

Six Sigma knowledge

Education

Bachelor's degree

Tools

Microsoft Office

Healthcare billing software

Job description

PwC Acceleration Center Manila is seeking an RCMS US Healthcare QC Analyst (Hospital Billing). You will engage with clients to analyze operational processes, identify improvement opportunities, and develop strategies to enhance productivity and quality across healthcare billing workflows.

As an Associate, you will learn through hands-on client engagements, collaborate across geographies and teams, and contribute to delivering value while expanding your technical knowledge of firm services and