US Healthcare Denials & Process Optimization Associate

PwC; Philippines; On-site; PHP 600,000 - 900,000; Full time

Job summary

PwC Acceleration Center Manila seeks a US Healthcare Associate (Coding Denials) to join a diverse client portfolio. You will help optimize operational processes, analyze denial patterns, and contribute to client engagements across Advisory, Assurance, Tax, and Business Services.

The role focuses on learning and applying healthcare billing knowledge, technology solutions, and process automation to deliver value. Collaboration with global teams and ongoing skill development are emphasized.

Qualifications

• Bachelor's degree is required.
• 1 to 4 years of experience.
• Fluent verbal and written English.
• Proven experience in coding denials/QA/training.
• Strong knowledge of medical billing processes and insurance reimbursement.
• Experience with healthcare billing software and MS Office applications.

Responsibilities

• Analyze client operational processes to identify areas for improvement.
• Develop strategies to optimize operational efficiency and drive performance.
• Collaborate with clients to implement technology solutions and process automation.
• Support development of operational excellence frameworks to improve quality and efficiency.
• Engage in operational analysis to inform decisions.
• Apply lean process improvement techniques to streamline operations.
• Participate in design and execution of process mapping and optimization initiatives.
• Assist in implementing emerging technologies to gain a competitive edge.
• Contribute to developing innovative solutions for operational challenges.
• Gather and interpret data to support strategy and decision-making.

Skills

English proficiency

Coding denials

Healthcare billing

MS Office

Education

Bachelor's degree

Tools

Healthcare billing software

Microsoft Office

Job description

PwC Acceleration Center Manila seeks a US Healthcare Associate (Coding Denials) to join a diverse client portfolio. You will help optimize operational processes, analyze denial patterns, and contribute to client engagements across Advisory, Assurance, Tax, and Business Services.

The role focuses on learning and applying healthcare billing knowledge, technology solutions, and process automation to deliver value. Collaboration with global teams and ongoing skill development are emphasized.