PhilHealth Billing & Revenue Cycle Manager

LG Health Inc.; Pasig; On-site; PHP 600,000 - 1,200,000; Full time

Job summary

LG Health Inc. in Metro Manila seeks an experienced Billing Manager to lead PhilHealth and other claims processing, optimizing revenue cycles and maximizing reimbursements.

You will develop billing policies, oversee complex claims issues, mentor the billing team, and act as liaison with senior management and external regulators. The ideal candidate holds a bachelor's degree with several years in healthcare billing, plus leadership experience and strong communication skills to drive standards

Qualifications

• Bachelor's degree in a related field is required.
• 3–5 years in healthcare billing and claims management with supervisory experience.
• Experience with PhilHealth processing, guidelines, deductions, and appeals.

Responsibilities

• Process PhilHealth and other healthcare claims efficiently and compliantly.
• Optimize the revenue cycle and maximize reimbursements.
• Develop and implement billing policies and procedures.
• Oversee complex claims issues and mentor the billing team.
• Liaise with senior management and external regulatory bodies.

Skills

Leadership

Analytics

Problem-solving

Communication

Attention to detail

Project management

Education

Bachelor's degree

Master's degree or CPC/CPB

HIM/ICD-10 training

Tools

eClaims

HIS/PIS

BizBox

Job description

LG Health Inc. in Metro Manila seeks an experienced Billing Manager to lead PhilHealth and other claims processing, optimizing revenue cycles and maximizing reimbursements.

You will develop billing policies, oversee complex claims issues, mentor the billing team, and act as liaison with senior management and external regulators. The ideal candidate holds a bachelor's degree with several years in healthcare billing, plus leadership experience and strong communication skills to drive standards