RCMS Coding Denials - Team Lead AC Manila

PwC Acceleration Center Manila; Quezon City; On-site; PHP 600,000 - 900,000; Full time

Job summary

PwC Acceleration Center Manila is seeking a Team Lead in RCMS Coding Denials. You will optimize operations, guide technology implementations, and mentor teams to improve productivity and quality.

You’ll work with clients to streamline processes, drive efficiency, and deliver valued outcomes across advisory, assurance, tax, and business services. You will cultivate client relationships, lead operational analysis initiatives, and apply lean and Six Sigma methodologies to reduce costs while

Qualifications

• At least a Bachelor's degree
• 1 to 3 years of experience
• Oral and written proficiency in English required
• Proven experience in coding denials
• Strong knowledge of medical billing processes and insurance reimbursement
• Experience with healthcare billing software and Microsoft Office applications

Responsibilities

• Analyzing client operational processes to identify areas for improvement and develop strategies to enhance productivity and efficiency
• Collaborating with clients to implement technology solutions and process automation for operational excellence
• Leading teams in operational analysis and process optimization to drive business performance
• Utilizing analytical thinking and operational analysis to inform insights and recommendations
• Developing and maintaining meaningful client connections to understand and anticipate their needs
• Applying lean process improvement and Six Sigma methodologies to streamline operations and reduce costs
• Supporting the deployment of innovative solutions and emerging technologies to improve operational effectiveness
• Guiding and mentoring junior team members in operational strategy and process improvement initiatives
• Confirming data integrity and compliance within operational frameworks
• Facilitating workshops and discussions to promote business process improvement and operational excellence

Skills

Analytical thinking

Leadership

Process improvement

English proficiency

Education

Bachelor's degree

Tools

Microsoft Office

Healthcare billing software

Job description

Job Description:

The Opportunity

Join our Acceleration Center Manila and help shape the future of business for our diverse client portfolio across geographies and jurisdictions. You’ll work at the heart of global teams across Advisory, Assurance, Tax and Business Services—solving real client challenges through connected collaboration. We’ll help you grow your skills so you can go further. With hands‑on learning, cutting‑edge tools and an inclusive culture, this is your opportunity to do inspiring work that makes a difference—every day.

As a Team Lead in RCMS Coding Denials at PwC Acceleration Center Manila, you will play a pivotal role in optimizing operational efficiency and effectiveness within our operations consulting practice. You will work closely with clients to analyze operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Your expertise will be instrumental in providing guidance on implementing technology solutions, process automation, and operational excellence frameworks.

As a Senior Associate, you will focus on building meaningful client connections and learning how to manage and inspire others. You will navigate increasingly complex situations, growing your personal brand and deepening your technical skills. You are expected to anticipate the needs of your teams and clients, delivering quality solutions even when the path forward is not clear. This role emphasizes relationship building, managing others, and personal growth.

In this role at PwC, you will leverage your skills to analyze client needs, develop operational strategies, and offer guidance and support to help clients streamline processes and drive business performance. Your contributions will be vital in enhancing operational performance and developing innovative solutions within our operations consulting practice.

Responsibilities

• Analyzing client operational processes to identify areas for improvement and develop strategies to enhance productivity and efficiency
• Collaborating with clients to implement technology solutions and process automation for operational excellence
• Leading teams in operational analysis and process optimization to drive business performance
• Utilizing analytical thinking and operational analysis to inform insights and recommendations
• Developing and maintaining meaningful client connections to understand and anticipate their needs
• Applying lean process improvement and Six Sigma methodologies to streamline operations and reduce costs
• Supporting the deployment of innovative solutions and emerging technologies to improve operational effectiveness
• Guiding and mentoring junior team members in operational strategy and process improvement initiatives
• Confirming data integrity and compliance within operational frameworks
• Facilitating workshops and discussions to promote business process improvement and operational excellence

What You Must Have

• At least a Bachelor's degree
• At least 1 to 3 years of experience
• Oral and written proficiency in English required
• Proven experience in coding denials
• Strong knowledge of medical billing processes and insurance reimbursement
• Experience with healthcare billing software and Microsoft Office applications

What Sets You Apart

• Utilizing analytical thinking to enhance operational strategies
• Embracing change and emerging technologies for process improvement
• Demonstrating proficiency in automation solutions and technology implementation
• Excelling in operational analysis and process optimization
• Developing innovative solutions for business process improvement
• Navigating complex situations with intellectual curiosity and learning agility
• Building meaningful client connections through effective communication and teamwork