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RCMS US Healthcare Associate (Coding Denials) (AC Manila)
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Full-time
bachelor degree
Posted 5d ago
~40 hrs/week
Responsibilities
The role focuses on optimizing operational efficiency and productivity within the US Healthcare network by analyzing processes and implementing technology solutions. Responsibilities include developing strategies for operational excellence and applying lean techniques to streamline billing and coding workflows.
Requirements
Candidates must have a bachelor's degree and 1 to 4 years of experience in coding denials, quality assurance, or training. Mandatory requirements include proficiency in Epic HB & PB and strong knowledge of medical billing and insurance reimbursement.
Full job description
Industry/Sector
Not Applicable
Specialism
Managed Services
Management Level
Associate
Job Description & Summary
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
At PwC, we help clients drive their companies to the leading edge. We’re a tech-forward, people-empowered network with more than 370,000 people in 149 countries. Across audit and assurance, tax and legal, deals and consulting we help build, accelerate and sustain momentum. Find out more at www.pwc.com.
PwC: Audit and assurance, consulting and tax services
PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Content on this page has been prepared for general information only and is not intended to be relied upon as accounting, tax or professional advice. Please reach out to your advisors for specific advice.
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