Revenue Cycle Strategist

6 days ago


Pasig, National Capital Region, Philippines The Medical City Full time
Job Overview

The Medical City is seeking a highly experienced Head of Revenue Cycle Management/Commercial Sales to drive revenue generation and cash flow across the hospital group's network. This role requires a deep understanding of healthcare financing, payer relationships, billing processes, and data-driven decision-making.

Main Responsibilities:
  • Lead and oversee all revenue cycle processes, including patient registration, billing, coding, charge capture, claims processing, denials management, and collections.
  • Ensure accurate and timely claims submission to insurers, government programs, and corporate accounts. Reduce denial rates and improve claim adjudication processes.
  • Develop policies for patient payment plans, financial assistance programs, and transparent pricing to improve patient satisfaction and revenue collection.
  • Lead negotiations with insurers, government health programs, and corporate health plans to secure competitive rates and reimbursement structures.
Requirements

An effective Head of Revenue Cycle Management/Commercial Sales must possess:

  • Bachelor's degree in business, Healthcare Administration, Finance, or a related field. Master's degree (MBA/MHA) preferred.
  • Minimum 10 years of progressive experience in revenue cycle management, healthcare finance, or commercial healthcare sales, with at least 5 years in a leadership role.
  • Strong understanding of hospital billing, payer negotiations, coding (ICD-10, CPT), and healthcare regulations.
  • Excellent stakeholder management, negotiation, and team leadership skills.
What We Offer

A challenging and rewarding career opportunity with a leading healthcare provider.



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