Industry/Sector

Specialism

Management Level

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 QC Analyst (Hospital Billing) at PwC Acceleration Center Manila, you will engage in optimizing operational efficiency and effectiveness within our Business & Supply Chain Operations practice. You will work closely with clients to analyze operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. In this role, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks.

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. You will be expected to adapt to working with a variety of clients and team members, each presenting varying challenges and scope.

In this role at PwC, you will take ownership and consistently deliver quality work that drives value for our clients and success as a team. You will navigate through the firm, building a brand for yourself and opening doors to more opportunities.

Responsibilities

- Analyzing client operational processes to identify areas for improvement and enhance productivity
- Developing and implementing strategies for operational excellence and process optimization
- Collaborating with clients to streamline processes and improve business performance
- Applying automation solutions and emerging technologies to drive operational efficiency
- Conducting operational analysis to support decision-making and strategic planning
- Utilizing process mapping and execution methodologies to improve operational workflows
- Supporting the implementation of technology solutions to optimize operational performance
- Engaging in business process improvement initiatives to achieve cost efficiency and competitive advantage
- Gathering and interpreting data to inform operational strategies and solutions
- Participating in project management tasks to support client engagements and deliver quality work

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

- Utilizing automation solutions to enhance operational efficiency
- Implementing business process improvements for cost-effective outcomes
- Excelling in operational analysis and strategy development
- Demonstrating proficiency in Six Sigma methodologies
- Applying lean process improvement techniques for optimized workflows
- Engaging in technology implementation to support service operations
- Developing solutions that drive competitive advantage and demand management

- Demonstrating knowledge of insurance and payer relations

- Identifying opportunities for process improvement

- Epic HB & PB experience is mandatory

Travel Requirements

Job Posting End Date