Healthcare Quality Analyst — Drive Quality & Compliance

Med-Metrix; Pasig; On-site; PHP 279,000 - 446,000; Full time

Benefits offered by this job

HMO coverage for dependents

Medical allowance

Rice allowance

Clothing allowance

Free lunch daily

Paid time off

Training & development

Employee engagement activities

Internal mobility opportunities

Job summary

Med-Metrix is seeking a Quality Analyst to support quality auditing, analysis, reporting, and implementation of process improvements in a healthcare setting. You will work closely with Operations and Training to identify risks, diagnose issues, and implement corrective actions.

The role involves handling denials, audits, and performance improvement initiatives, training new users, and maintaining HIPAA compliance across processes.

Qualifications

• 2+ years as Quality Analyst in healthcare insurance collections or related call center/compliance/training.
• Experience training new users.
• Knowledge of EOBs, CPT, ICD-9/10, HCFA/UB92s/HCPCS/DRGs and authorizations/referrals.

Responsibilities

• Ensure quality processes are followed and metrics achieved.
• Prepare detailed audit reports and meet quality targets.
• Identify methods to achieve quality targets in consultation with QCA lead/managers.
• Participate in performance improvement activities and training.
• Share information to ensure project completion and address management recommendations.
• Assist in staff training and ensure HIPAA compliance.

Skills

Communication skills

Training others

Analytical skills

Teamwork

Time management

Tools

EPIC PB

Allscripts

Cerner

Job description

Med-Metrix is seeking a Quality Analyst to support quality auditing, analysis, reporting, and implementation of process improvements in a healthcare setting. You will work closely with Operations and Training to identify risks, diagnose issues, and implement corrective actions.

The role involves handling denials, audits, and performance improvement initiatives, training new users, and maintaining HIPAA compliance across processes.