Quality Assurance Analyst

3 weeks ago

Pasay, National Capital Region, Philippines Access Healthcare Full time
Quality Assurance Analyst | AR Claims | Healthcare BPO

We are looking for an Accounts Receivable Quality Analyst to be part of our growing team. As a Quality Analyst you will ensure the accuracy and compliance of AR processes in a fast-paced healthcare BPO environment. The ideal candidate should have a strong understanding of U.S. healthcare RCM, AR follow-up, and quality assurance methodologies.

Responsibilities
  • Conduct audits of AR processes including follow-ups, denials, and payment posting to ensure compliance with client and internal standards.
  • Evaluate team performance by identifying errors, gaps, and areas of improvement through quality checks and audits.
  • Provide feedback and corrective actions to AR team members to drive performance improvement.
  • Prepare quality reports and dashboards for leadership and operations teams.
  • Collaborate with training and operations teams to align QA findings with process improvements and upskilling initiatives.
  • Ensure adherence to HIPAA regulations and client-specific compliance requirements.
  • Assist in the development and refinement of QA policies, procedures, and audit tools.
  • Identify trends in errors and recommend preventive measures.
Requirements
  • Minimum 1 year of experience in a Quality Analyst or QA role in a healthcare BPO setup
  • At least 2 years of experience in Accounts Receivable (AR), End-to-end Claims processes in a healthcare BPO setup
  • Strong knowledge of U.S. healthcare RCM cycle, including insurance follow-up, denial management, and payment posting
  • Excellent communication and documentation skills
  • Detail-oriented with strong analytical and problem-solving abilities
  • Amenable to report onsite at Imet BPO Tower, Pasay
Employment details
  • Employment type: Full-time
  • Job function: Customer Service
  • Industries: Hospitals and Health Care

Note: This posting reflects the role and responsibilities for the Quality Assurance Analyst – AR Claims in the Access Healthcare Services organization and should be reviewed in the context of any current recruiting requirements.


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