RCM Manager

HGS; Pasig; Presencial; PHP 900.000 - 1.500.000; Jornada completa

Descripción de la vacante

HGS is seeking an experienced Revenue Cycle Management leader to guide enterprise-wide RCM operations from our Ortigas, Pasig office. You will standardize billing, coding and claims workflows for PhilHealth, HMO and corporate payers, while driving performance across multiple facilities.

You will develop RCM policies aligned with regulatory requirements, monitor denial rates and cash collections, and report KPIs to senior leadership.

Formación

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field.
• 2-5 years of progressive RCM leadership experience in a multi-facility healthcare setting.
• Deep expertise in PhilHealth, HMO, and corporate payer billing and reimbursement.
• Proven track record in denial management, claims optimization, and revenue recovery.
• Strong analytical skills with experience in RCM dashboards and performance reporting.
• Excellent leadership, communication, and cross-functional collaboration abilities.
• Familiarity with healthcare compliance standards and accreditation requirements.
• Willing to work on-site in Ortigas, Pasig.

Responsabilidades

• Lead enterprise-wide revenue cycle operations.
• Standardize billing, coding, and claims workflows for PhilHealth, HMO, and corporate payers.
• Oversee cross-site performance metrics including denial rates, RTH turnaround, and cash collections.
• Develop and implement RCM policies aligned with enterprise goals and regulatory requirements.
• Coordinate with facility-level supervisors to ensure consistent execution of RCM processes.
• Drive continuous improvement initiatives to reduce revenue leakage and optimize reimbursement.
• Manage escalated payer disputes and complex claims resolution.
• Report directly to senior leadership on revenue cycle KPIs and strategic initiatives.

Conocimientos

Leadership

Cross-functional collaboration

Analytical thinking

Communication

Educación

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

Herramientas

RCM dashboards

Performance reporting tools

Descripción del empleo

• Lead enterprise-wide revenue cycle operations
• Standardize billing, coding, and claims workflows for PhilHealth, HMO, and corporate payers
• Oversee cross-site performance metrics including denial rates, RTH turnaround, and cash collections
• Develop and implement RCM policies aligned with enterprise goals and regulatory requirements
• Coordinate with facility-level supervisors to ensure consistent execution of RCM processes
• Drive continuous improvement initiatives to reduce revenue leakage and optimize reimbursement
• Manage escalated payer disputes and complex claims resolution
• Report directly to senior leadership on revenue cycle KPIs and strategic initiatives

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field
• Minimum 2-5 years of progressive RCM leadership experience in a multi-facility healthcare setting
• Deep expertise in PhilHealth, HMO, and corporate payer billing and reimbursement
• Proven track record in denial management, claims optimization, and revenue recovery
• Strong analytical skills with experience in RCM dashboards and performance reporting
• Excellent leadership, communication, and cross-functional collaboration abilities
• Familiarity with healthcare compliance standards and accreditation requirements
• Willing to work on-site in Ortigas, Pasig