Healthcare AR Quality Analyst — Contract Management

Med-Metrix; Pasig; On-site; PHP 391,000 - 558,000; Full time

Job summary

Med-Metrix in Metro Manila (Pasig) is seeking a Quality Analyst to support quality auditing, analysis, and reporting, driving process improvements across healthcare revenue cycle operations. You will engage with Operations and Training teams to diagnose issues, implement improvements, and ensure compliance with HIPAA and PHI protections.

The role requires familiarity with EOBs, CPT/ICD codes, and denials processing, plus experience with major practice management systems.

Qualifications

• 1 year contract management experience
• Experience training new users
• Knowledge of EOBs, CPT & ICD-9 & 10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
• Strong understanding of healthcare revenue cycle processes (insurance, patient billing/collections, Managed Care, Medicare, Medicaid)
• Experience with practice management systems (EPIC PB, Allscripts, Cerner) preferred
• Knowledge of denied claims and appeals process
• Outbound transaction AR process (Payers) experience
• Proficient with Microsoft Office Excel (intermediate)

Responsibilities

• Ensure project-related quality processes are followed and metrics are achieved
• Prepare detailed audit reports and ensure timely delivery of findings
• Identify methods to hit quality targets and implement improvements
• Participate in performance improvement activities and training
• Share information with team and ensure project completion
• Assist in client presentations of findings when requested
• Handle inquiries and adjust workloads to meet project deadlines
• Maintain HIPAA compliance and protect PHI in all duties

Skills

Analytical thinking

Attention to detail

Communication

Interpersonal skills

Time management

Multitasking

Teamwork

Problem solving

Integrity

Tools

EPIC PB

Allscripts

Cerner

Microsoft Excel

Microsoft Office Suite

Job description

Med-Metrix in Metro Manila (Pasig) is seeking a Quality Analyst to support quality auditing, analysis, and reporting, driving process improvements across healthcare revenue cycle operations. You will engage with Operations and Training teams to diagnose issues, implement improvements, and ensure compliance with HIPAA and PHI protections.

The role requires familiarity with EOBs, CPT/ICD codes, and denials processing, plus experience with major practice management systems.