US Healthcare Denials Associate - Operational Excellence

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

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.