Senior Operations Analyst – Credentialling

6 days ago

Manila, Philippines PatternEP - https:healthreconconnect.comsitemap.xml - om Full time

HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel. HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka for five consecutive years and was adjudged one of the 40 Best Workplaces in Sri Lanka in 2021. HealthRecon is also a participant of the United Nations Global Compact. We are looking for Senior Operations Analyst’s in Credentialling. to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job. Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short‑listed for the first round of interviews will be contacted. Thank you for your understanding. Job Vacancy: Senior Operations Analyst – Credentialling Work Week: Monday to Friday Shift Window: 7:30 PM to 4:00 AM MNL (Night Shift) Location: Manilla, Philippines Other Features: Full TimeUS calendar applicable Responsibilities: Credentialing application submission & follow up to be carried out efficiently according to the daily production targets specified by management. Generate credentialing reports, analyze and work based on priority levels. Download/ verify correspondences related to credentialing function from Box folder/ SFTP/ EHR. Ensure daily credentialing follow ups carried out as expected. Ensure proper analysis being done before reaching out to insurance representatives and resolve internal gaps are identified eliminated. Develop a Credentialing Plan and Root Cause analysis and share with management review. Ensure payer approval rate is achieved as expected for the assigned client/s. Act as the point of contact for assigned client for internal and external queries. Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours. Ensure to responded back to all internal e‑mails within the shift time. Daily and Weekly assigned reports to be shared within the given timelines. Ensure to update SOPs in a timely manner and according to the required level. Conduct random QA on a percentage decided by the management. Perform QA daily if allocated and ensure to share QA reports with the relevant personnel. Credentialing payer follow up and call quality to be maintained at 98% accuracy or greater. Conduct training to newcomers on the job specific functions. Qualifications/Criteria: Partially qualified in any degree / professional qualification 2+ years’ experience in RCM Operations and at least six months experience in Credentialing RCM Billing Operations knowledge will be an advantage Ability to work with MS Office package Good written and verbal communication skills Ability to work under pressure #J-18808-Ljbffr

  • Senior Operations Analyst – Credentialling

    2 weeks ago

    Manila, National Capital Region, Philippines HealthRecon Connect Full time

    HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day...

  • Senior Analyst, Technical Operations

    1 week ago

    Manila, Philippines Melco Resorts & Entertainment Full time

    Join to apply for the Senior Analyst, Technical Operations role at Melco Resorts & Entertainment 2 days ago Be among the first 25 applicants Join to apply for the Senior Analyst, Technical Operations role at Melco Resorts & Entertainment Get AI-powered advice on this job and more exclusive features. REQ12926 Senior Analyst, Technical Operations (Open Date:...

  • Workforce Analyst

    7 days ago

    Manila, National Capital Region, Philippines Operations Full time ₱35 - ₱47 per year

    Employment type: Fixed-Term/Secondment (6 months)Location: Makati City, Metro ManilaWork setup: We operate in a hybrid work environment, and we encourage applicants who are open to working in the office two to three days a week to apply.Work schedule: 4:00 PM - 12:00 MN PH time.Pay range: We value transparency and want to ensure a good fit for both parties....

  • Senior Analyst, Technical Operations

    2 weeks ago

    Manila, National Capital Region, Philippines Melco Resorts & Entertainment Full time ₱900,000 - ₱1,200,000 per year

    REQ12926 Senior Analyst, Technical Operations (Open Date: 16/06/2025)Position SummaryThe Senior Analyst, Technical Operations works as a part of operations team to perform project implementation and daily operations support of the company's global enterprise server deployment. This position will perform general configuration management, SW upgrades,...

  • Senior Analyst, Cyber Security Operations

    2 weeks ago

    Manila, Philippines Melco Resorts & Entertainment Full time

    Senior Analyst, Cyber Security Operations Position Summary The Senior Analyst, Cyber Security Operations acts as a critical escalation point within the Cyber Security Operations Center (CSOC) team. The analyst is responsible for advanced analysis, incident handling, and in-depth investigations of security events, and mentors CSOC Analysts to guide complex...

  • Senior Operations Analyst

    2 weeks ago

    Manila, Philippines HealthRecon Connect LLC Full time

    Senior Operations Analyst - Credentialing HealthRecon Connect provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage deep domain expertise and cutting‑edge analytics, machine learning, AI and automated workflows to improve cash flow, patient outcomes and client peace of mind. Responsibilities Submit and...

  • Senior Finance Operations Analyst

    3 weeks ago

    Manila, Philippines Genesys Full time

    Senior Finance Operations Analyst page is loaded## Senior Finance Operations Analystlocations: Manila (Flexible)time type: Full timeposted on: Posted Todayjob requisition id: JR Genesys empowers organizations of all sizes to improve loyalty and business outcomes by creating the best experiences for their customers and employees. Through Genesys Cloud, the...

  • Senior Finance Operations Analyst

    2 days ago

    Manila, Philippines Genesys Cloud Services, Inc. Full time

    Senior Finance Operations Analyst page is loaded## Senior Finance Operations Analystlocations: Manila (Flexible)time type: Full timeposted on: Posted 2 Days Agojob requisition id: JR Genesys empowers organizations of all sizes to improve loyalty and business outcomes by creating the best experiences for their customers and employees. Through Genesys Cloud,...

  • Senior Analyst, Custody Tax Operations

    2 weeks ago

    , Metro Manila, Philippines ACCA Careers Full time

    Senior Analyst, Custody Tax Operations Join to apply for the Senior Analyst, Custody Tax Operations role at ACCA Careers . Responsibilities Implementation of new operational procedures following changes in tax policy or law. Validation of client tax status and eligibility for relief. Handling client and tax authority technical queries. Carrying out complex...

  • Senior Security Operations Analyst

    2 weeks ago

    Manila, National Capital Region, Philippines Private Advertiser Full time

    Position Overview:As a Senior Security Operations Analyst, you will support governance, compliance, and security-related initiatives within the IT department. Lead and mature security operations by defining playbooks, metrics, and continuous improvement of detection and response capabilities.This is a night shift position with a schedule of 9am EST - 6pm...