Healthcare Quality Strategist | Process Improvement

Med-Metrix; Metro Manila; Presencial; PHP 400.000 - 650.000; Tempo integral

Resumo da vaga

Med-Metrix is seeking a Quality Analyst in the Philippines to support quality auditing, analysis, reporting, and improvement initiatives. You will identify risks, diagnose issues, and develop plans to enhance processes in coordination with the Operations and Training teams.

The role emphasizes adherence to HIPAA and information security policies, with responsibilities across audits, reporting, and education to staff.

Qualificações

• 2+ years as Quality Analyst in healthcare insurance, call center or related
• Experience training new users
• Knowledge of EOBs, CPT & ICD codes, HCPCS and authorizations
• Strong understanding of healthcare revenue cycle processes (billing, collections, managed care)
• Proficient with Microsoft Office; intermediate Excel

Responsabilidades

• Ensure project quality processes are followed and metrics achieved
• Prepare detailed audit reports and meet quality targets
• Identify methods to achieve targets and implement with QA leads
• Participate in performance improvement activities and ongoing training
• Share information with team and ensure projects are completed

Conhecimentos

Quality auditing

Data analysis

Communication

Training new users

Revenue cycle

Multi-tasking

Ferramentas

EPIC PB

Allscripts

Cerner

Descrição da vaga

Med-Metrix is seeking a Quality Analyst in the Philippines to support quality auditing, analysis, reporting, and improvement initiatives. You will identify risks, diagnose issues, and develop plans to enhance processes in coordination with the Operations and Training teams.

The role emphasizes adherence to HIPAA and information security policies, with responsibilities across audits, reporting, and education to staff.