Quality Analyst

22 hours ago

Pasig, National Capital Region, Philippines Risewave Consulting, Inc. Full time $40,000 - $80,000 per year

Qualifications:

  • At least 2 years previous work experience as a Quality Analyst in healthcare insurance collections, self-pay collections and customer service in a call center setting or compliance and/or training
  • Experience with training new users
  • Knowledge of EOBs, CPT & ICD-9 & 10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/ referrals.
  • Strong understanding of the basic healthcare revenue cycle operational processes such as the functions of insurance, patient billing & collections, Managed Care, Medicare, Medicaid, and Commercial Practices
  • Experience with practice management systems. EPIC PB, Allscripts and/or Cerner preferred
  • Knowledge of the denied claims and appeals process
  • Must have an experience in outbound transaction AR process (Payers).

Job Description:

  • Quality Assurance and Auditing:
    You are responsible for ensuring that all project quality processes are followed by the denials analyst team. This includes conducting detailed audits, preparing reports on your findings, and making sure the team meets both internal and client-specific quality metrics.
  • Performance Improvement:
    A key part of the role is identifying and implementing methods to achieve quality targets. You'll work with leads and managers to develop and implement these improvements, assist with quality assessments, and participate in ongoing education and performance improvement activities.
  • Communication and Training:
    You will share relevant information with the team, take the lead on project completion, and participate in client presentations. Additionally, you'll be involved in training new hires, conducting refresher courses, and communicating changes in guidelines and regulations to ensure the team is always up-to-date,
  • Compliance and Teamwork:
    You must understand and comply with all policies, especially those related to HIPAA and Information Security. This includes protecting patient health information (PHI) and monitoring changes in laws and regulations. You are also expected to foster a collaborative and professional team environment.

  • Quality Analyst

    23 hours ago

    Pasig, National Capital Region, Philippines IMPACT Training & Consultancy Services Full time ₱350,000 - ₱400,000 per year

    The Quality Analyst plays a vital role in maintaining and improving the service quality within the healthcare contact center. This position is responsible for monitoring and evaluating the accuracy and compliance of agents' approvals on customer requests, validating Excess of Benefits (EOB), and ensuring adherence to quality standards across both voice and...

  • Quality Analyst

    4 weeks ago

    Pasig, National Capital Region, Philippines Med-Metrix, LLC Full time

    Job DescriptionPosted Sunday, August 10, 2025 at 4:00 PMJob PurposeThe Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods...

  • Quality Analyst

    24 hours ago

    Pasig, National Capital Region, Philippines Med-Metrix Full time $40,000 - $80,000 per year

    Job PurposeThe Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and...

  • Quality Analyst

    23 hours ago

    Pasig, National Capital Region, Philippines Med-Metrix Full time $40,000 - $80,000 per year

    Job PurposeThe Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and...

  • Quality Analyst

    22 hours ago

    Pasig, National Capital Region, Philippines Enshored Inc. Full time $40,000 - $60,000 per year

    Enshored seeks detail-oriented, diligent, and hard-working Quality Analysts to work with a fast-growing Social Media program. These are high-impact roles and offer great opportunities for career advancement in a BPO setting.Essential duties and responsibilitiesConduct quality assurance evaluations (internal audits) for employees to improve the customer...

  • AR Quality Analyst

    22 hours ago

    Pasig, National Capital Region, Philippines Lennor Group Full time ₱55,000 per year

    Our brand, Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a Healthcare RCM company in their search for an AR Quality Analyst based in Pasig.Salary Range : up to ₱55,000Work Setup : OnsiteShift Schedule : Night Shift (9PM-5AM)Location : Pasig CityThe roleWe are seeking a...

  • Quality Assurance Analyst

    23 hours ago

    Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time $40,000 - $60,000 per year

    Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for a Quality Assurance Analyst (Healthcare Account) who will be working with Connext's...

  • Quality Assurance Analyst

    23 hours ago

    Pasig, National Capital Region, Philippines GameOps Inc. Full time $30,000 - $50,000 per year

    We are searching for individuals that recognize the value of professional growth through the development of professional skills and have the dedication to achieve such advancement.The main responsibility of this role is to review and validate video recordings submitted by other Testers. It is also to ensure accuracy, completeness, and adhere to testing...

  • Quality Assurance Analyst

    22 hours ago

    Pasig, National Capital Region, Philippines Connext Full time ₱500,000 - ₱1,000,000 per year

    Connextis a trusted team of business process outsourcing experts and innovators, with proven experience supporting world-class companies across industries such as Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for aQuality Assurance Analystto join our growing team...

  • Quality Assurance Analyst

    23 hours ago

    Pasig, National Capital Region, Philippines iSupport Worldwide Full time $40,000 - $60,000 per year

    Be a part of our fast-growing team and unchain all the possibilitiesWhat is your mission?We are looking for an QA/EDI Analyst to support US healthcare operations by monitoring EDI transactions, resolving file issues, and ensuring compliance with HIPAA standards. You will develop process documentation, troubleshoot data transmission, and assist internal and...