Senior Operations Analyst

1 week 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 follow up on credentialing applications efficiently to meet daily production targets specified by management. Generate credentialing reports, prioritize and act based on priority levels. Download and verify credentialing correspondences from Box folder, SFTP, or EHR; ensure daily follow‑ups are carried out as expected. Analyze data before contacting insurance representatives; identify and eliminate internal gaps. Develop a credentialing plan and root‑cause analysis; share with management for review. Ensure payer approval rate is achieved as expected for assigned client(s). Act as point of contact for assigned client for internal and external queries. Review QA reports, fix and respond back to QA teams within 24 hours. Respond to all internal e‑mails within shift time. Share daily and weekly assigned reports within the given timelines. Update SOPs in a timely manner according to required level. Conduct random QA on a percentage decided by management. Perform daily QA if allocated and share QA reports with relevant personnel. Maintain credentialing payer follow‑up and call quality at 98% accuracy or greater. Conduct training for newcomers on the job‑specific functions. Qualifications Partially qualified in any degree or 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. Work Week Monday to Friday Shift Night shift (7:30 PM to 4:00 AM) - MNL Other Features Full Time | US calendar applicable Please send us your CV to with the designation as the subject line "Senior Operations Analyst - Credentialing" #J-18808-Ljbffr

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