Healthcare Quality & AR/Contract Management Analyst

Med-Metrix; Pasig; On-site; PHP 360,000 - 600,000; Full time

Job summary

Med-Metrix is seeking a Quality Analyst to support quality auditing, analysis, reporting, and the development of improvement plans. The role focuses on risk identification, diagnosing issues, and implementing process improvements with collaboration across Operations and Training teams.

Responsibilities include preparing audit reports, maintaining HIPAA and PHI compliance, and assisting in staff training. The incumbent will contribute to meeting quality targets and drive continuous improvement in

Qualifications

• Contract management experience of at least 1 year.
• Experience training new users.
• Knowledge of EOBs, CPT & ICD-9 & 10 codes, HCFA, UB92s, HCPCS, DRGs and authorizations/referrals.
• Understanding healthcare revenue cycle processes (insurance, billing, managed care, Medicare/Medicaid).
• Experience with practice management systems (EPIC PB, Allscripts, Cerner).

Responsibilities

• Ensure project quality processes are followed and metrics achieved.
• Prepare detailed audit reports and ensure timely delivery.
• Identify methods to meet quality targets with managers.
• Participate in performance improvement activities and ongoing training.
• Share information with the team to ensure project completion.
• Assist in client presentations of findings.
• Maintain HIPAA compliance and PHI handling.
• Support new hire training and knowledge updates.
• Keep knowledge of Med-Metrix policies up to date.
• Communicate changes in guidelines to staff.

Skills

Analytical skills

Communication skills

Multitasking

Team collaboration

Detail oriented

Problem solving

Integrity & dependability

Tools

Microsoft Office Suite

Excel

EPIC PB

Allscripts

Cerner

Job description

Med-Metrix is seeking a Quality Analyst to support quality auditing, analysis, reporting, and the development of improvement plans. The role focuses on risk identification, diagnosing issues, and implementing process improvements with collaboration across Operations and Training teams.

Responsibilities include preparing audit reports, maintaining HIPAA and PHI compliance, and assisting in staff training. The incumbent will contribute to meeting quality targets and drive continuous improvement in