Revenue Auditor

Batangas Healthcare Specialist Medical Center; Batangas City; On-site; PHP 360,000 - 600,000; Full time

Benefits offered by this job

Promotion to permanent employee

Job summary

Batangas Healthcare Specialist Medical Center is seeking a Revenue Audit Specialist to strengthen accuracy in hospital billing and revenue controls. You will review charges, validate price schedules, and coordinate with departments to correct discrepancies, ensuring PhilHealth and HMO compliance.

This role requires attention to detail and analytical insight in a fast-paced clinical setting. Work location is in person in Batangas City, Philippines, with opportunities to contribute to internal

Qualifications

• Bachelor's Degree in Accountancy, Internal Auditing, Accounting Information Systems, Financial Management, or related field.
• At least 1–3 years of experience in auditing, accounting, hospital billing, or revenue management.
• Experience in hospital operations, PhilHealth claims, and HMO billing is an advantage.
• Proficient in Microsoft Excel and hospital information systems.
• Strong analytical, investigative, and problem-solving skills.
• High level of integrity, accuracy, and attention to detail.

Responsibilities

• Review and verify daily revenue transactions across hospital departments.
• Audit patient records and billings for completeness and accuracy.
• Identify unbilled, underbilled, duplicate, or incorrect charges and coordinate corrections.
• Reconcile billed revenues with actual collections and system reports.
• Validate prices in the hospital information system against approved rates.
• Prepare daily, weekly, and monthly revenue audit reports.
• Present findings to management and support compliance with policies.

Skills

Analytical thinking

Attention to detail

Integrity

Problem solving

Education

Bachelor's Degree in Accountancy or related field

Tools

Microsoft Excel

Hospital Information System (HIS)

Job description

Duties and Responsibilities

• Revenue Audit and Verification

• Review daily revenue transactions from all hospital departments, including Pharmacy, Laboratory, Radiology, Emergency Room, Operating Room, Inpatient, and Outpatient Services.

• Verify that all services rendered to patients are properly charged and reflected in the patient's Statement of Account.

• Audit patient records and supporting documents to ensure completeness and accuracy of billings.

• Identify unbilled, underbilled, duplicate, or incorrect charges and coordinate corrections with concerned departments.

• Monitor revenue leakages and recommend corrective actions.

Billing and Collection Audit

• Reconcile billed revenues with actual collections and system reports.

• Review cancelled, voided, discounted, and adjusted transactions for proper authorization and documentation.

Price and System Audit

• Review and validate that prices encoded in the hospital information system match approved management rates, contracts, and pricing schedules.

• Audit newly added or revised prices before and after implementation.

• Monitor unauthorized price changes and report discrepancies.

• Evaluate controls over system access related to pricing and billing functions.

• Coordinate with Accounting, IT, Pharmacy, Purchasing, and other departments regarding pricing concerns.

Compliance and Internal Control

• Ensure compliance with hospital policies, accounting standards, PhilHealth regulations, HMO agreements, and applicable government requirements.

• Evaluate the effectiveness of internal controls related to revenue generation, billing, and collections.

• Recommend process improvements to strengthen revenue controls and prevent losses.

• Assist in internal and external audits by providing supporting documents and audit reports.

Reporting

• Prepare daily, weekly, and monthly revenue audit reports.

• Document audit findings, exceptions, and recommendations.

• Present significant findings to management and monitor corrective actions.

• Maintain records of audit reviews and resolutions.

Qualifications

• Bachelor's Degree in Accountancy, Internal Auditing, Accounting Information Systems, Financial Management, or related field.

• At least 1–3 years of experience in auditing, accounting, hospital billing, or revenue management.

• Experience in hospital operations, PhilHealth claims, and HMO billing is an advantage.

• Proficient in Microsoft Excel and hospital information systems.

• Strong analytical, investigative, and problem-solving skills.

• High level of integrity, accuracy, and attention to detail.

Benefits

• Promotion to permanent employee

Work Location: In person