Market Circle 2 (MC2)

Operations Manager (Medical Billing)

Quezon City, Metro Manila
Work Type: Full Time

Pointwest is seeking a results-driven Operations Manager (Medical Billing) to lead our revenue cycle operations and manage medical billing teams. The ideal candidate will have deep expertise in healthcare billing, team leadership, and client management. You’ll play a critical role in enhancing service delivery, streamlining processes, and ensuring compliance with industry standards.

Join a company that upholds the values of Leadership, Excellence, and Innovation, and thrives in a culture built on AgilityAccountabilityCollaborationCustomer Centricity, and Innovation.

Key Responsibilities

  • Customer & Stakeholder Success

    • Act as the primary point of contact for healthcare clients

    • Ensure timely, accurate billing and claims processing

    • Resolve escalations and maintain high client satisfaction

  • Business Growth

    • Identify and support opportunities for account expansion

    • Contribute to new client onboarding and healthcare BPO growth

  • Operational Excellence

    • Lead billing teams and manage performance against SLAs

    • Optimize billing workflows and reduce claim denial rates

    • Drive automation and process improvements

  • People Development

    • Coach and mentor team members for skill and career growth

    • Promote continuous learning, compliance, and professional development

Key Metrics

  • SLA and KPI attainment (e.g., claim turnaround, AR days, denial rates)

  • Client satisfaction and retention scores

  • Process optimization and automation outcomes

  • Team performance, upskilling participation, and leadership development

Qualifications

  • Bachelor’s degree in Healthcare Administration, Business, or related field

  • Minimum 5 years’ experience in medical billing and revenue cycle operations

  • 2+ years’ experience in managing teams or projects in healthcare billing

  • Proficiency in ICD-10, CPT, HCPCS, and HIPAA compliance

  • Hands-on experience with EHR and billing systems (e.g., Epic, Kareo, eClinicalWorks)

  • Strong communication, leadership, and analytical skills

  • Certification in medical billing/coding is a plus

  • Experience in healthcare BPO or outsourced billing operations preferred

Ready to lead with purpose and deliver healthcare excellence? Join us at Pointwest.

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