Senior Operations Analyst

1 week ago

Manila, National Capital Region, Philippines HealthReconConnect Inc. Full time ₱40,000 - ₱80,000 per year

HealthRecon Connect provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.

At HealthRecon Connect (HRC), we hold ourselves accountable for setting and maintaining high standards. Day after day, we passionately strive for high achievement; for customer delight and thrive on the challenge of high expectations and commitment to excel.

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 payers follow up and call quality to be maintained at 98% accuracy or greater.
  • Conduct training to newcomers on the job specific functions.

Qualifications

  • 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.

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"

  • Senior Operations Analyst

    2 weeks ago

    Manila, National Capital Region, Philippines HealthRecon Connect LLC Full time ₱900,000 - ₱1,200,000 per year

    HealthRecon Connect provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.At...

  • Senior Analyst, Technical Operations

    3 days 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, National Capital Region, Philippines Melco Resorts & Entertainment Full time ₱1,200,000 - ₱2,400,000 per year

    REQ12454 Senior Analyst, Cyber Security Operations (Open)Position SummaryThe Senior Analyst, Cyber Security Operations acts as a critical escalation point within the Cyber Security Operations Center (CSOC) team. He/she is responsible for advanced analysis, incident handling, and in-depth investigations of security events. The analyst serves as a mentor to...

  • Senior Security Operations Analyst

    3 days 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...

  • Finance Analyst

    3 days ago

    Manila, National Capital Region, Philippines Executive Operations, Inc. Full time ₱640,000 - ₱800,000 per year

    We are seeking a highly motivated and detail-oriented Finance Analyst to support a U.S.-based cybersecurity client. The ideal candidate will have a strong foundation in accounting principles and financial operations, including accounts payable, accounts receivable, budgeting, and general financial analysis. You'll play a vital role in supporting internal...

  • Finance Analyst

    3 days ago

    Manila, National Capital Region, Philippines Executive Operations, Inc. Full time $4 - $5

    We are seeking a highly motivated and detail-oriented Finance Analyst to support a U.S.-based cybersecurity client. The ideal candidate will have a strong foundation in accounting principles and financial operations, including accounts payable, accounts receivable, budgeting, and general financial analysis.You'll play a vital role in supporting internal...

  • Senior Operations Analyst – Credentialling

    4 days 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 Change Analyst

    5 days ago

    Manila, National Capital Region, Philippines Satellite Office Full time

    OPERATIONS AND CHANGE SENIOR ANALYSTWork for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and just be aweSOme Apply now and discover the Satellite Office Candidate Experience – recognized as one of BEST among BPO companies worldwide.WHAT IS AN OPERATIONS AND CHANGE SENIOR ANALYST?Our awesome client, a...

  • Junior Accounting Analyst for Real Estate Investment Firm

    1 week ago

    Manila, National Capital Region, Philippines All-Star Operations Full time $14,400 - $24,000 per year

    Ideal for detail-driven individuals with an accounting background who thrive in fast-paced environments.START DATE: NOVEMBER 17, 2025COMPENSATION:Independent Contractor$1,200 USD/MONTH + 13th MONTH BONUSSCHEDULE: hours per week/4 days per weekUS TIMEZONE 7:00 AM - 5:00 PM EST* (8-10 hours per day)Flexible shift start timeNIGHT SHIFT in the...

  • Senior Security Analyst

    20 hours ago

    Manila, National Capital Region, Philippines QBE Insurance Group Full time ₱60,000 - ₱120,000 per year

    Primary DetailsTime Type: Full timeWorker Type: EmployeeWe are seeking a highly skilled and motivated Senior Security Analyst to join our Global Security Operations Centre based in the Philippines. Reporting to the Global Security Operations Centre Lead, the Senior Security Analyst will be a key member of our rapidly growing Global team. This role is...