quality analyst

6 days ago

Ayala Alabang, National Capital Region, Philippines Gear Inc. Full time ₱900,000 - ₱1,200,000 per year

Job description

This Quality Analyst (QA) role in Healthcare Accounts Receivable (AR) and Medical Billing is crucial for maintaining service excellence and revenue recovery by systematically ensuring compliance and accuracy in billing operations. Essentially, the QA acts as an internal auditor and performance driver within the team.

Here's a breakdown of the core functions and impact of the position:

Core Purpose

The primary purpose is to ensure claims are handled accurately and efficiently, which directly supports timely revenue recovery for clients. This is achieved by serving as a key checkpoint in the quality lifecycle to ensure strict compliance with:

  • Billing standards.
  • Payer guidelines.
  • Internal processes.

Key Responsibilities and Activities

The role balances auditing, performance analysis, and collaborative improvement.

1. Quality Assurance & Auditing

This is the operational core of the role, focused on identifying errors and maintaining consistency.

  • Daily Auditing: Review a sample of billers' work (case transcripts) and document findings in a standardized tracker.
  • Feedback & Alignment: Provide clear, structured feedback to specialists based on audit results. Engage in calibration sessions with operational and client leads to ensure scoring is consistent and fair.
  • Issue Resolution: Handle audit appeals and validate the logic behind the audit findings, making updates to feedback as necessary.
2. Performance Improvement & Collaboration

The QA is a direct partner in driving up team performance and resolving systemic issues.

  • Pattern Identification: Analyze audit results to identify patterns and recurring errors, escalating major compliance risks to leadership.
  • Targeted Training: Collaborate with Team Leads (TLs) and Trainers to conduct root cause analysis and plan targeted coaching or refresher training sessions to address these recurring issues.
  • Process Refinement: Partner with Operations to conduct joint root cause analysis and refine inefficient or non-compliant processes.
3. Reporting & Strategic Insights

The role provides the data-driven view of team performance for leadership and clients.

  • Data Analysis: Generate and analyze QA reports (daily, weekly, ad hoc) to highlight quality trends and process bottlenecks.
  • Risk Flagging: Identify outliers, productivity-to-quality gaps, and compliance risks.
  • Reporting: Prepare summaries and decks for both internal reviews and client-facing presentations.

Essential Skills and Background

To succeed, a candidate needs a strong combination of domain expertise, analytical prowess, and communication skills.

  • Domain Expertise: Minimum 1 year experience in healthcare AR, revenue cycle, or medical billing, coupled with in-depth knowledge of:

  • Billing practices and payer guidelines.

  • Denial management.
  • Compliance standards (e.g., HIPAA).
  • Leadership & Communication: Strong verbal and written communication skills (C1 English or above), with at least 1 year in a leadership role (for external candidates) to effectively deliver feedback and drive collaboration.
  • Analytical & Technical Skills: Must be detail-oriented with strong analytical, decision-making, and problem-solving skills, and proficient with MS Office/Google Drive, billing systems, and claim portals.

  • Quality Assurance Analyst

    3 days ago

    Ayala Alabang, National Capital Region, Philippines Jollibee Group Full time ₱900,000 - ₱1,200,000 per year

    Title: Quality Assurance Analyst (Muntinlupa)The Quality Assurance Analyst Is Responsible ForEnsuring that the goods produced adhere to established quality standards.Observing and checking raw materials used or finished goods produced for visible defects; performing various tests on the samples drawn; and noting down observations.Accepting and rejecting lots...

  • Manual Quality Analyst

    2 weeks ago

    Ayala Alabang, National Capital Region, Philippines GECO Asia Pte. Ltd Full time ₱550,000 - ₱850,000 per year

    Job Summary:We are looking for a detail-oriented and experienced Manual Quality Analyst to join our team. The successful candidate will ensure that software products meet quality standards and business requirements through comprehensive manual and API testing. Basic knowledge of automation testing is also required and considered an advantage.Key...

  • Quality Analyst

    2 weeks ago

    Ayala Alabang, National Capital Region, Philippines Cobden & Carter International Full time

    Key ResponsibilitiesAnswering incoming calls from customers in a professional and courteous manner.Listening actively to customers and asking probing questions to fully understand their needs and concerns.Providing accurate and timely information to customers about products and services, pricing, and promotions, while actively seeking opportunities to...

  • Automation Quality Analyst

    6 days ago

    Ayala Alabang, National Capital Region, Philippines Radix Systems Services Corporation Full time ₱1,200,000 - ₱2,400,000 per year

    Job SummaryThe Automation Quality Analyst is responsible for designing, developing, and executing automated tests using Playwright and related tools. This role ensures that systems and software releases meet agreed-upon business requirements and quality standards through robust testing strategies. The position contributes to the improvement of QA processes...

  • Quality Assurance Analyst

    5 days ago

    Ayala Alabang, National Capital Region, Philippines Jollibee Full time ₱600,000 - ₱1,200,000 per year

    The Quality Assurance Analyst is responsible for:Ensuring that the goods produced adhere to established quality standards.Observing and checking raw materials used or finished goods produced for visible defects; performing various tests on the samples drawn; and noting down observations.Accepting and rejecting lots on the basis of samples checked, assist in...

  • Quality Assurance Analyst

    1 week ago

    Ayala Alabang, National Capital Region, Philippines CP Health Innovations Inc. Full time ₱600,000 - ₱1,200,000 per year

    Quality Assurance AnalystPart-time, Work from Home setupWith at least 1 year experienceExecute manual and automated tests to identify software defects and ensure the product meets functional and non-functional requirements.Document, track, and report software defects using a bug tracking system.Communicate test progress, results, and any issues to the team...

  • Mid Manual Quality Analyst

    6 days ago

    Ayala Alabang, National Capital Region, Philippines GECO Asia Pte Ltd Full time ₱900,000 - ₱1,200,000 per year

    About Us:GECO Philippines, part of the GECO Asia Group of Companies, is a specialist IT Consulting Services company with headquarters in Singapore and two delivery centers in the Philippines.Position: Mid Manual Quality AnalystAre you passionate about quality and have a sharp eye for detail? Do you enjoy breaking things just to make sure they work perfectly?...

  • Senior Manual Quality Analyst

    6 days ago

    Ayala Alabang, National Capital Region, Philippines GECO Asia Pte. Ltd Full time ₱1,200,000 - ₱3,600,000 per year

    Job Title: Senior Manual Quality AnalystDepartment: Quality Assurance / TestingReports To: QA Manager / Project ManagerKey Result Areas / Job Responsibilities1. Quality Process MasteryComply with defined Software Development Life Cycle (SDLC) and CMMI standards.Understand various testing approaches: System Testing, Integration Testing, Regression...

  • Sr. Automation Quality Analyst

    6 days ago

    Ayala Alabang, National Capital Region, Philippines GECO Asia Pte Ltd Full time ₱90,000 - ₱120,000 per year

    About Us:GECO Philippines, part of the GECO Asia Group of Companies, is a specialist IT Consulting Services company with headquarters in Singapore and two delivery centers in the Philippines.Position: Senior Automation Quality AnalystAre you passionate about building reliable, high-quality software through automation? Do you enjoy solving problems, writing...

  • Quality Assurance_Manual

    1 week ago

    Ayala Alabang, National Capital Region, Philippines NYGC Services, Inc. Full time ₱400,000 - ₱800,000 per year

    Job Title: Mid Manual QA-Night ShiftLocation: Alabang, Muntinlupa-(Hybrid 3 days RTO, 2 days remote)Mode of Hiring: Full-time ContractI. POSITION OBJECTIVES / JOB SUMMARYEnsures that business requirement specification are analyzed, understood properly, and able totranslate into functional specifications and test cases.Evaluates and tests new or...