RCM - Quality Analyst (Medical Billing)

1 week ago

Taguig, National Capital Region, Philippines ALLDIGI TECH MANILA, INC. (AMI) Full time ₱120,000 - ₱180,000 per year

Job Summary:

We are seeking a meticulous and experienced Quality Analyst to monitor and enhance the accuracy and compliance of medical billing operations in a US healthcare call center environment. The ideal candidate will have a strong understanding of RCM workflows, call center quality metrics, and US healthcare billing standards.


Key Responsibilities:

  • Audit voice and non-voice transactions across RCM functions including charge entry, payment posting, AR follow-up, and patient/provider interactions.
  • Evaluate call recordings and documentation for accuracy, completeness, and adherence to client-specific and regulatory guidelines.
  • Identify quality gaps and provide constructive feedback to agents and team leaders.
  • Collaborate with training and operations teams to address recurring errors and improve overall quality.
  • Maintain detailed audit logs and generate periodic quality reports for internal and client review.
  • Participate in calibration sessions to ensure consistency in quality standards.
  • Support internal and external audits and ensure HIPAA compliance.
  • Recommend process improvements based on audit findings and trend analysis.

Required Skills & Qualifications:

  • High school graduate and above; certification in medical billing or healthcare compliance is a plus.
  • 3–5 years of experience in US medical billing, with at least 1–2 years in a quality/auditing role.
  • Strong knowledge of CPT, ICD-10, HCPCS codes, and payer-specific billing rules.
  • Experience in a call center environment with exposure to call quality metrics.

  • RCM Trainer

    1 week ago

    Taguig, National Capital Region, Philippines ALLDIGI TECH MANILA, INC. (AMI) Full time ₱900,000 - ₱1,200,000 per year

    Job Summary:We are looking for a skilled and engaging Process Trainer to lead training initiatives for our RCM / medical billing teams in a US healthcare call center. The ideal candidate will have hands-on experience in medical billing processes and a passion for developing talent through structured training programs.Key Responsibilities:Design and deliver...

  • RCM Team Leader

    1 week ago

    Taguig, National Capital Region, Philippines ALLDIGI TECH MANILA, INC. (AMI) Full time ₱30,000 - ₱60,000 per year

    Job Summary:We are seeking a proactive and experienced Team Leader to manage a team of medical billing professionals in a US healthcare call center setting. The ideal candidate will have strong leadership capabilities, in-depth knowledge of RCM processes, and experience in handling voice and non-voice operations related to US medical billing.Key...

  • URGENT Quality analyst

    2 weeks ago

    Taguig, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

    Role DescriptionThis is a full-time on-site role for a Quality Analyst specializing in Revenue Cycle Management (RCM) or Medical Coding, located in Taguig. The Quality Analyst will be responsible for performing quality assurance and quality control tasks, ensuring adherence to quality standards, and maintaining quality management processes. Daily tasks...

  • Medical Billing Customer Support

    2 weeks ago

    Taguig, National Capital Region, Philippines Alldigi Tech Manila, Inc. Full time ₱3,300,000 - ₱4,300,000 per year

    Key ResponsibilitiesHandle inbound and outbound calls, emails, and chats related to patient billing and insurance queries.Assist patients in understanding their statements, charges, and insurance coverage.Research and resolve billing discrepancies, denials, and claim rejections.Coordinate with internal billing, coding, and insurance teams to ensure accurate...

  • RCM - Operations Manager (Medical Billing)

    1 week ago

    Taguig, National Capital Region, Philippines Private Advertiser Full time ₱1,500,000 - ₱2,500,000 per year

    As an Operations Manager in RCM (Revenue Cycle Management), the resource will directly oversee the program functioning and personnel to ensure positive morale and effective daily operations. The resources will need to cater to the client and internal customers through the development and implementation of best cell center methods and procedures. The...

  • Medical Billing Customer Support

    2 weeks ago

    Taguig, National Capital Region, Philippines ALLSECTECH MANILA, INC Full time ₱400,000 - ₱600,000 per year

    OverviewWe are seeking a detail-oriented and empathetic Medical Billing Customer Support Representative to join our team. This role will serve as the primary point of contact for patients, providers, and internal stakeholders regarding billing inquiries, insurance claims, and payment processes. The ideal candidate will have strong communication skills, a...

  • Profee Medical Coder

    5 days ago

    Taguig, National Capital Region, Philippines R1 RCM Full time ₱900,000 - ₱1,200,000 per year

    Qualifications:Must have an active PHRN LicenseMust have an active Medical Coding Certification (CPC, COC, CCS and/or CCS-P)Wit h at least 1.5 years of ProFee Coding(Transplant, Surgery, Oncology.. etc.)With experience in any EMR systems such as Epic, Cerner & MeditechWorking in an evolving healthcare setting, we use our shared expertise to deliver...

  • RCM Trainer

    2 weeks ago

    Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱1,200,000 - ₱2,400,000 per year

    RCM Senior Trainer – Hospital BillingOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

  • Team Lead

    7 days ago

    Taguig, National Capital Region, Philippines R1 RCM Full time ₱1,500,000 - ₱2,500,000 per year

    As our Team Lead - Process Quality, you'll lead a team of quality analysts to ensure every customer interaction meets our high standards. You'll monitor calls, analyze performance data, and collaborate with operations to elevate service quality.Your Key ResponsibilitiesMonitor and evaluate customer calls and interactions using QA toolsAnalyze performance...

  • Patient Billing Specialist

    2 weeks ago

    Taguig, National Capital Region, Philippines Access Healthcare Full time ₱300,000 - ₱360,000 per year

    We are seeking a detail-oriented and organized Patient Billing Specialist to join our growing Healthcare BPO team. In this role, you'll handle end-to-end patient billing processes, ensure timely and accurate invoicing, and resolve billing discrepancies to support our clients in delivering seamless healthcare services.Key Responsibilities:Review and process...