Quality Auditing Analyst

Synlink Recruitment Outsourcing Co. Inc.; Taguig; On-site; PHP 279,000 - 446,000; Full time

Benefits offered by this job

Health & Wellness HMO

Job summary

A recruitment outsourcing company in Taguig is seeking a High School graduate with 3-5 years of experience in US medical billing. Responsibilities include conducting audits and ensuring compliance with quality standards. Candidates must possess strong analytical skills and proficiency in MS Excel. This is an on-site full-time position.

Qualifications

• 3-5 years of experience in US medical billing, including quality/auditing.
• Exposure to call quality metrics in a call centre environment.
• Strong documentation skills.

Responsibilities

• Conduct audits of products, processes, and services.
• Ensure compliance with internal quality standards.
• Compile and analyze data for quality performance.
• Drive improvement: identify root causes and implement corrective actions.
• Document findings: maintain records of audit activities and recommendations.

Skills

US medical billing experience

Knowledge of CPT, ICD-10, HCPCS codes

Analytical skills

Communication skills

Proficiency in MS Excel

Education

High school graduate

Certification in medical billing

Tools

Audit tools

Billing platforms

Audit tools

Job description

Synlink Recruitment Outsourcing Co. Inc.

On-site - Taguig 3-5 Yrs Exp High/Senior High School Full-time

Job Description

Insurance Health & Wellness HMO

Job Requirements

• High school graduate and above; certification in medical billing or healthcare compliance is a plus.
• 3–5 years of experience in US medical billing, with at least 1–2 years in a quality/auditing role.
• Strong knowledge of CPT, ICD-10, HCPCS codes, and payer‑specific billing rules.
• Experience in a call centre environment with exposure to call quality metrics (e.g., AHT, FCR, CSAT).
• Excellent analytical, documentation, and communication skills.
• Proficiency in MS Excel, audit tools, and billing platforms.

Responsibilities

• Conduct audits:Perform internal and external audits of products, processes, and services to check for defects, non‑conformities, and deviations.
• Ensure compliance:Verify that products and processes meet internal quality standards and external regulatory requirements.
• Analyze and report:Compile and analyze data, track metrics, and generate reports on quality performance and audit findings for senior management.
• Drive improvement:Identify root causes of issues, recommend corrective and preventive actions, and work with teams to implement them.
• Document findings:Maintain accurate records of audit activities, findings, and recommendations.

Working Location

Taguig, Philippines (On‑site)