Healthcare Quality Manager

Job description refinement for clarity and HTML validity. Job Duties and Responsibilities Prioritize incoming authorization and referral requests according to queue urgency Review patient’s clinical and chart documentation related to the service submitted by the provider’s office Obtain and/or follow up on authorization and referral requests from the...

Prioritize incoming authorization and referral requests according to queue urgency Review patient’s clinical and chart documentation related to the service submitted by the provider’s office Obtain and/or follow up on authorization and referral requests from the patient’s payer/s through any of the following methods—depending on the payer’s policy:...

Overview Competitive salaries and a comprehensive benefit package! Pioneering Account Location Location: Ortigas, Pasig Qualifications Amenable to work onsite Bachelor's degree holder in any field Minimum of 3-5 years management level experience in QA with strong healthcare background in the BPO (e.g. prior authorization, revenue cycle management,...

Responsibilities Project-manages the smooth roll out of courses at the location. Work on areas identified for improvement based on feedback received about the quality of the training programs. To ensure confidentiality, integrity and availability of all data dealt in course of work To ensure the completion of compliance awareness training for all the team...

Job Description Posted Sunday, February 16, 2025 at 4:00 PM Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix! Experience these exceptional benefits when you...

We are looking for an experienced QA Manager to lead and support our quality team across various lines of business. The role involves managing QA Team Leads, driving process improvement initiatives, and ensuring high-quality performance standards. You'll work closely with internal teams and clients to enhance training programs, develop team skills, and lead...

Job Description: We are looking for an experienced QA Manager to lead and support our quality team across various lines of business. The role involves managing QA Team Leads, driving process improvement initiatives, and ensuring high-quality performance standards. You'll work closely with internal teams and clients to enhance training programs, develop team...

Med-Metrix, Pasig, National Capital Region, Philippines Overview We are looking for bright, energetic, and resourceful people to join our lively and dedicated team. Work for us and you’ll learn, grow, and enjoy along the way. The HIM and Patient Access QA Manager is responsible for leading quality assurance initiatives within Health Information...

Key Responsibilities:Review and verify customer request approvals made by contact center agents to ensure they align with internal policies and healthcare protocols.Validate Excess of Benefits (EOB) cases and ensure proper documentation and resolution are reflected in each transaction.Monitor and evaluate agent interactions (calls, emails, chat, etc.) using...

Xtraordinary awaits YOU at Med-MetriXOur BenefitsDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityAt Med-Metrix, technology isn't just part of our business, it's what drives us forward. Operating...