RCMS US Healthcare Associate Coding Denials AC Manila

PwC Acceleration Center Manila; Quezon City; On-site; PHP 420,000 - 540,000; Full time

Job summary

PwC Acceleration Center Manila is seeking an RCMS US Healthcare Associate (Coding Denials) to optimize client operational processes and support technology-driven improvements. You will work with cross-functional teams to analyze denials, implement automation, and contribute to operational excellence initiatives.

The role emphasizes learning, collaboration with clients, and building expertise in healthcare billing, reimbursement, and process optimization within a fast-paced services environment.

Qualifications

• Bachelor's degree required.
• 1–4 years of experience.
• Proficient in English (oral and written).
• Experience with coding denials, QA, or training.
• Strong knowledge of medical billing processes and insurance reimbursement.
• Experience with healthcare billing software and MS Office.

Responsibilities

• Analyzing client operational processes to identify areas for improvement and enhance productivity.
• Developing strategies to optimize operational efficiency and drive business performance.
• Collaborating with clients to implement technology solutions and process automation.
• Supporting the development of operational excellence frameworks to improve quality and efficiency.
• Engaging in operational analysis to discern patterns and inform decision-making.
• Applying lean process improvement techniques to streamline operations.
• Participating in the design and execution of process mapping and optimization initiatives.
• Assisting in the implementation of emerging technologies to gain a competitive advantage.
• Contributing to the development of innovative solutions for operational challenges.
• Gathering and interpreting data to support operational strategy and decision-making.

Skills

English proficiency

Coding denials

Quality assurance

Training experience

Medical billing knowledge

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 an RCMS US Healthcare Associate (Coding Denials) at PwC Acceleration Center Manila, you will engage in optimizing operational efficiency and effectiveness within our Business & Supply Chain Operations network. You will work closely with clients to analyze operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. 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 provide guidance on implementing technology solutions, process automation, and operational excellence frameworks. You will be part of a fast-paced environment, adapting to working with a variety of clients and team members, each presenting unique challenges and scope. Every experience is an opportunity to learn and grow, taking ownership and consistently delivering quality work that drives value for our clients and success as a team.

Responsibilities

• Analyzing client operational processes to identify areas for improvement and enhance productivity
• Developing strategies to optimize operational efficiency and drive business performance
• Collaborating with clients to implement technology solutions and process automation
• Supporting the development of operational excellence frameworks to improve quality and efficiency
• Engaging in operational analysis to discern patterns and inform decision-making
• Applying lean process improvement techniques to streamline operations
• Participating in the design and execution of process mapping and optimization initiatives
• Assisting in the implementation of emerging technologies to gain a competitive advantage
• Contributing to the development of innovative solutions for operational challenges
• Gathering and interpreting data to support operational strategy and decision-making

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

• Demonstrating proficiency in Automation Solutions and Process Optimization
• Utilizing Lean Process Improvement and Six Sigma methodologies
• Excelling in Operational Analysis and Operations Strategy
• Applying Business Process Improvement techniques effectively
• Engaging in Technology Implementation for enhanced efficiency
• Developing skills in Project Management and Service Operations
• Embracing Intellectual Curiosity and Emerging Technologies
• Demonstrating knowledge of insurance and payer relations
• Identifying opportunities for process improvement
• Epic HB & PB experience is mandatory

Requirements