The Medical City Pangasinan is searching for an Assistant Manager - Revenue Cycle Management This role will be responsible for overseeing end-to-end revenue cycle operations, ensuring accurate claims processing, timely collections, regulatory compliance, and operational excellence across the organization. You'll be a key partner to business units and enterprise stakeholders, providing leadership and insights that improve revenue performance, operational efficiency, and patient financial services.
This role reports directly to the RCM Enterprise Office Head of the RCM Operations Department.
What's The Role All About
Job responsibilities include, but not limited to:
- Lead revenue cycle operations: Oversee claims processing, accounts receivable follow-up, return-to-hospital (RTH) management, denials monitoring, and collections to ensure optimal revenue cycle performance.
- Ensure compliance and reporting: Implement enterprise-wide RCM standards, submit accurate operational reports, and ensure compliance with PhilHealth, HMO, corporate payer, and internal policies.
- Mentor and lead teams: Supervise RCM staff, conduct coaching and performance reviews, manage workforce allocation, and promote a culture of accountability and continuous improvement.
- Drive process improvement: Identify workflow bottlenecks, implement corrective actions, support automation initiatives, and continuously improve revenue cycle processes and operational efficiency.
- Support strategic decision-making: Monitor key performance indicators, lead audits and compliance reviews, resolve escalated issues, and collaborate with stakeholders to enhance revenue outcomes.
Who Are We Looking For
An effective Assistant Manager - Revenue Cycle Management must possess the following skills:
- A graduate of Healthcare Administration or a related field; a degree in Nursing or Allied Health courses is preferred.
- Has progressive experience in Revenue Cycle Management (RCM) operations, including team leadership and cross-functional collaboration.
- Strong understanding of PhilHealth policies, HMO billing, claims management, denials, accounts receivable, and hospital revenue cycle workflows.
- Excellent communication and stakeholder management skills with the ability to simplify complex operational and financial information into actionable insights.
- A structured thinker with strong analytical, process improvement, and problem-solving capabilities focused on operational excellence.
- Strong leadership, organizational, workload management, and continuous improvement skills.
Ideally, a candidate must be a graduate of Healthcare Administration or a related field, preferably Nursing or an allied health course. With at least three (3) years of progressive experience in Revenue Cycle Management operations, including leadership of teams and cross-functional initiatives. Must possess strong knowledge of PhilHealth regulations, HMO billing processes, claims management, accounts receivable follow-up, denials management, and hospital revenue cycle workflows. Experience with hospital information systems (HIS/EMR), payer portals, process improvement initiatives, and data-driven operational management is highly preferred.
