Manager|Collections|Medical Billing|Insurance collections|RCM

AVENSYS CONSULTING INC.; Taguig; On-site; PHP 900,000 - 1,300,000; Full time

Job summary

AVENSYS CONSULTING INC. is seeking a seasoned leader to drive healthcare collections and revenue cycle operations. The role oversees insurance follow-up, denial management, appeals, payment reconciliation, and AR activities while steering continuous improvement across the organisation.

You will lead teams, monitor KPIs, and ensure compliance with payer guidelines and HIPAA. A strong background in data analysis and healthcare software is essential to succeed in this fast-paced environment.

Qualifications

• 5+ years in medical billing, insurance collections, or revenue cycle management.
• 3+ years in management supervising healthcare collections teams.
• Knowledge of payer guidelines incl. Medicare/Medicaid/Workers' Comp.
• Experience with HIPAA and healthcare regulations.
• Proficiency with data analysis and reporting.

Responsibilities

• Lead healthcare collections teams and guide performance.
• Oversee insurance follow-up, denial management and AR.
• Monitor KPIs, productivity, and financial performance.
• Drive productivity improvements and process changes.
• Ensure compliance with HIPAA and payer requirements.
• Analyse payer performance and resolve billing issues.
• Prepare and present performance reports.

Skills

Leadership

Coaching

Analytical thinking

Communication skills

Project management

Problem-solving

Education

Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field

Tools

Microsoft Excel

Electronic Health Records

Practice Management Systems

Revenue Cycle Software

Clearinghouses

Job description

About the role

Lead healthcare collections and revenue cycle operations, driving strong financial performance, efficient processes, and high team productivity. This role oversees insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable activities while supporting continuous improvement across the organisation.

Key responsibilities

• Lead and manage healthcare collections teams, providing direction, coaching, mentoring, and performance support.
• Oversee insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable management.
• Monitor collection metrics, key performance indicators, productivity reports, and financial performance data.
• Develop and implement initiatives to improve productivity, employee engagement, collections performance, and operational efficiency.
• Guide teams through process and organisational change while maintaining service quality and compliance.
• Analyse payer performance and resolve issues involving commercial insurance, Medicare, Medicaid, Workers' Compensation, managed care, and government payer guidelines.
• Ensure compliance with HIPAA, healthcare regulations, payer contractual requirements, and applicable revenue cycle policies.
• Use electronic health records, practice management systems, clearinghouses, revenue cycle software, reporting tools, and Microsoft Excel to manage and analyse operational data.
• Prepare reports and communicate performance insights, risks, and recommendations across all organisational levels.
• Prioritise multiple projects, resolve operational challenges, and meet deadlines in a fast-paced healthcare environment.

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 and payer requirements.
• Strong understanding of commercial insurance, Medicare, Medicaid, Workers' Compensation, managed care, and government payer guidelines.
• Demonstrated experience analysing collection metrics, KPIs, productivity reports, and financial performance data.
• Strong coaching, mentoring, conflict resolution, employee development, analytical, organisational, and problem-solving skills.
• Excellent verbal and written communication skills, with the ability to work effectively across all organisational levels.
• Experience with 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.
• An equivalent combination of education and relevant experience may be considered.