Healthcare RCM – Accounts Receivable (AR) Professionals

A career in IBM Consulting is built on long-term client relationships and close collaboration worldwide. You'll work with leading companies across industries, helping them shape their hybrid cloud and AI journeys. With support from our strategic partners, robust IBM technology, and Red Hat, you'll have the tools to drive meaningful change and accelerate client impact. At IBM Consulting, curiosity fuels success. You'll be encouraged to challenge the norm, explore new ideas, and create innovative solutions that deliver real results. Our culture of growth and empathy focuses on your long-term career development while valuing your unique skills and experiences. Manage Accounts Receivable (AR) activities within the Healthcare Revenue Cycle Management (RCM) process, with a focus on timely resolution and collection of outstanding claims. Perform follow-up on unpaid, underpaid, or denied claims with payers and other relevant parties to identify issues and facilitate resolution. Review claim status, billing information, payment details, and denial reasons, and take appropriate follow-up actions. Investigate and resolve AR and denial-related issues across the claims lifecycle. Apply knowledge of provider and payer concepts, medical billing, and the healthcare claims lifecycle when handling accounts. Analyze outstanding accounts and identify issues requiring additional follow-up, escalation, or corrective action. Maintain accurate documentation of account activity, claim status, payer communication, and resolution actions. Follow established quality and compliance requirements when handling healthcare and billing information. Communicate effectively with internal teams, clients, providers, and payers as required to resolve AR-related issues. For senior-level roles, provide coaching, knowledge sharing, and subject matter expertise to support team capability and complex case resolution. Healthcare industry experience is required, with experience or knowledge in Revenue Cycle Management (RCM), medical billing, Accounts Receivable, Collections, Claims, or related functions. Understanding of healthcare terminology, provider/payer concepts, medical billing, and the claims lifecycle. Strong analytical and problem-solving skills with a focus on quality and accuracy. Good communication skills for working with clients, payers, and internal stakeholders. Must be willing to work onsite at either IBM location (UP Ayala TechnoHub or Eastwood). Hands-on experience in Healthcare Accounts Receivable (AR), Collections, Denial Management, or Claims Follow-up. Experience working with healthcare providers and/or payers within the Revenue Cycle Management (RCM) process. Familiarity with medical billing processes and end-to-end claims lifecycle. Experience handling complex or aged accounts, claim denials, and payment-related issues. For senior/SME-level candidates, experience in coaching, knowledge sharing, and providing subject matter expertise within RCM or AR operations. Philippines Enterprise Operations Professional QUEZON CITY, PH QUEZON CITY (0856) IBM Business Services Accounts Receivable Collections Accounts Receivable Coaching Communication Healthcare Healthcare Industry Knowledge Sharing Management Medical Billing RCM Reliability-centered Maintenance Revenue Cycle Management Terminology Accounting Financial and Operational Combined Uniform Single Reporting