RCMS Trainer (Clinical/Coding Denials) (AC Manila)

PwC Acceleration Center Manila; Taguig; On-site; PHP 300,000 - 600,000; Full time

Job summary

PwC Acceleration Center Manila is seeking an RCMS Trainer (Clinical/Coding Denials) to engage with clients, optimize operational efficiency, and guide denial management and training. As an Associate, you will learn, contribute to client engagements, and develop your skills while building client connections.

Within Business & Supply Chain Operations, you will analyze processes, apply technology solutions, and drive automation and operational excellence to improve productivity and quality for

Qualifications

• Bachelor's degree required and English proficiency.
• 1–4 years of healthcare operations or denial management experience.
• Experience with coding denials/QA/training is required.
• Strong knowledge of medical billing and payer processes.
• Experience with healthcare billing software and Microsoft Office.

Responsibilities

• Analyze client operational processes to identify areas for improvement.
• Develop strategies to optimize operational efficiency and drive performance.
• Provide guidance on implementing technology solutions and automation.
• Collaborate with clients to streamline processes and improve quality.
• Support development of operational excellence frameworks and solutions.
• Apply a learning mindset to adapt to diverse client needs.
• Gather and interpret data to inform strategies and recommendations.
• Participate in project tasks to deliver client value.
• Build personal brand by delivering quality work and ownership.
• Utilize process mapping and operational analysis to support client objectives.

Skills

English proficiency

Coding denials/QA/training

Data interpretation

Education

Bachelor's degree

Tools

Healthcare billing software

Microsoft Office

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 an RCMS Trainer (Clinical/Coding Denials) at PwC Acceleration Center Manila, you will engage with clients to optimize operational efficiency and effectiveness. You will analyze client needs, develop operational strategies, and provide guidance to streamline processes, improve productivity, and drive business performance. As an Associate, you will focus on learning and contributing to client engagement and projects while developing your skills and knowledge to deliver quality work. You will be exposed to clients to learn how to build meaningful client connections, manage and inspire others, and grow your personal brand by deepening your technical knowledge of firm services and technology resources.

In this role at PwC, you will work within our Business & Supply Chain Operations practice, focusing on providing consulting services to optimize overall operational performance and develop innovative solutions. You will collaborate closely with clients to analyze operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Your role will involve providing guidance on implementing technology solutions, process automation, and operational excellence frameworks. This is an opportunity to build a brand for yourself, opening doors to more opportunities as you navigate through the firm.

Responsibilities

• Analyzing client operational processes to identify areas for improvement and enhance productivity
• Developing strategies to optimize operational efficiency and drive business performance
• Providing guidance on implementing technology solutions and process automation
• Collaborating with clients to streamline processes and improve quality and efficiency
• Supporting the development of operational excellence frameworks and innovative solutions
• Applying a learning mindset to adapt to diverse client needs and team dynamics
• Gathering and interpreting data to inform operational strategies and recommendations
• Engaging in project tasks to contribute to client engagement and deliver value
• Building a personal brand by consistently delivering quality work and taking ownership of tasks
• Utilizing skills in process mapping and operational analysis to support client objectives

What You Must Have

• At least a Bachelor's degree
• At least 1 to 4 years of experience
• Oral and written proficiency in English required
• Proven experience in coding denials/quality assurance/training
• Strong knowledge of medical billing processes and insurance reimbursement
• Experience with healthcare billing software and Microsoft Office applications

What Sets You Apart

• Utilizing automation solutions for operational excellence
• Implementing lean process improvement strategies
• Developing competitive advantage through emerging technologies
• Managing operations strategy for cost efficiency
• Excelling in communication and teamwork skills
• Applying Six Sigma methodologies for process optimization
• Demonstrating knowledge of insurance and payer relations
• Identifying opportunities for process improvement
• Epic HB & PB experience is mandatory