Quality Analyst (RCM - Healthcare Account)

Synlink Recruitment Outsourcing Co. Inc.; Parañaque; On-site; PHP 420,000 - 660,000; Full time

Job summary

A healthcare recruitment firm in Metro Manila is seeking a Quality Assurance Specialist to conduct thorough quality assessments on healthcare accounts and review medical billing documentation. The ideal candidate has a diploma in Healthcare Administration, 1–3 years of experience, and proficiency in US medical billing. Strong analytical skills and attention to detail are crucial. This role offers an opportunity to enhance quality assurance processes in a collaborative environment.

Qualifications

• 1–3 years of experience in quality assurance or medical billing.
• Ability to work collaboratively in a team environment.
• Detail-oriented with excellent problem-solving abilities.
• Strong analytical skills with proficiency in MS Excel.
• Detail-oriented with excellent problem-solving abilities.
• Ability to work collaboratively in a team environment.

Responsibilities

• Conduct thorough quality assessments on healthcare accounts.
• Review medical billing documentation for accuracy.
• Identify and report discrepancies for process improvements.
• Collaborate with team members to enhance quality assurance processes and workflows.
• Utilize MS Excel for data analysis and reporting to track quality metrics.

Skills

Proficient in US Medical Billing

Strong analytical skills

Detail-oriented

Excellent problem-solving abilities

MS Excel

Analytical skills

Team collaboration

Education

Diploma in Healthcare Administration or related field

Tools

MS Excel

Job description

• Conduct thorough quality assessments on healthcare accounts to ensure compliance with industry standards.
• Review medical billing documentation for accuracy and adherence to CPT, ICD-10, and HCPCS codes.
• Identify and report discrepancies, providing feedback for process improvements.
• Collaborate with team members to enhance quality assurance processes and workflows.
• Utilize MS Excel for data analysis and reporting to track quality metrics.

Requirements

• Educational Qualifications: Diploma in Healthcare Administration or related field
• Experience Level: 1–3 years in quality assurance or medical billing
• Skills and Competencies: Proficient in US Medical Billing, CPT, ICD-10, and HCPCS codes
• Skills and Competencies: Strong analytical skills with proficiency in MS Excel
• Qualities and Traits: Detail-oriented with excellent problem-solving abilities
• Responsibilities and Duties: Ability to work collaboratively in a team environment