Quality Assurance Analyst (healthcare account) - onsite in cebu cityKMC MAG Solutions Inc

Make your next big career move by applying as KMC Solutions' next QUALITY ASSURANCE ANALYST
The Quality Assurance (QA) Analyst is responsible for evaluating and reporting the performance quality of our call center agents, patient account specialists, and senior accounts receivable (AR) specialists. The QA Analyst will monitor the efficiency and accuracy of the revenue cycle process by analyzing and auditing key metrics across billing, accounts receivable (AR), coding, payments, and call center operations. Additionally, the QA Analyst will develop reporting mechanisms utilizing Business Intelligence (BI) tools to track the performance of patient account specialists and senior AR specialists. The ideal candidate will have a strong background in revenue cycle management, quality assurance, data analysis, and an eye for detail and proactive approach to identifying and resolving issues.
On top of your salary, here are the exciting benefits you can look forward to:
Health Insurance/HMO
Enjoy unlimited MadMax Coffee
Diverse learning & growth opportunities
Accessible Cloud HR platform (Sprout)
Above standard leaves
The main responsibilities of a QUALITY ASSURANCE ANALYST include:
Utilize BI tools (e.g., Tableau, Power BI, Qlik) to create, maintain, and enhance dashboards and reports that provide visibility into key revenue cycle metrics, including billing accuracy, AR aging, coding quality, payment reconciliation, and call center performance.
Analyze data to identify trends, root causes of issues, and opportunities for process improvements across the revenue cycle.
Conduct regular audits and assessments of billing, AR, coding, payment, and call center processes to ensure adherence to internal policies, payer requirements, and regulatory standards.
Provide actionable data to various internal support groups as needed.
Monitor and analyze call center metrics, including response times, resolution rates, and customer satisfaction, to ensure high levels of service and support for patients and providers.
Provide feedback to call center team leaders and managers.
Prepare and analyze internal and external quality reports for management staff review.
Identify and recommend process improvements.
Ensure compliance with company guidelines and policies.
To apply, you must be an expert on the following requirements:
Minimum of 5 years of experience quality assurance. Revenue Cycle and/or Healthcare QA experience preferred.
Strong knowledge and understanding of ICD-10 codes is a must.
Strong knowledge of customer care processes and techniques.
Excellent verbal, written, and interpersonal communication skills.
Exceptional listening and analytical skills.
Proficiency in using BI tools (e.g., Tableau, Power BI, Qlik) for data analysis, dashboard creation, and reporting.
Proficiency in PC hardware and software systems (Excel, Google Suite, etc.)
Strong knowledge of call center telephony and technology.
Proven ability to meet deadlines and handle multiple tasks simultaneously.
Demonstrated ability to train and develop employees.
Ability to work well in a team environment.
Audit experience.
Strong analytical skills.
It will also be favorable if you are knowledgeable in:
  
The successful candidate must submit the following pre-employment requirements
Scanned copy of valid NBI Clearance
Accomplished Medical or PEME Slip (covered by KMC)
2x2 & Half body picture with white background
Proof of government numbers (TIN, SSS, Pag-ibig, & Philhealth)
Photocopy of 2 valid IDs - front & back (government-issued)
Clear copy of your Birth Certificate (PSA or NSO)
Accomplished HR Forms & Promissory Note (will be provided by KMC's Onboarding Team
Click here to view the complete list of KMC's pre-employment requirements.
KMC Careers
If you're a rockstar at what you do and looking to be a part of our amazing story, we want to hear from you!
We offer attractive salaries and benefits plus you get to work in some of the Philippines' best flexible workspaces. Our employees also get to enjoy exclusive discounts, rewards and freebies, and invites to our monthly events. We are always recruiting for roles in IT & Development, Marketing, Business Administration, HR & Recruitment and Legal & Finance Roles.
KMC provides quality employment opportunities for job-seekers looking for a career that is both challenging and fulfilling. We are also committed to providing equal opportunities at every selection stage. We do not discriminate due to age, gender, sexual orientation, ethnicity, nationality, and religion.
Work with Us. Grow with Us.
KMC Solutions offers a variety of career opportunities in Metro Manila, Cebu and Clark & Iloilo. We are always looking for talented and enthusiastic individuals who are ready to make their next big career move.
Our Culture
At KMC, we foster an inclusive and positive workplace for all. We push our members to succeed in everything they do through our collaborative work environment. We encourage our community to work hard and reach their full potential while delivering results that matter for our members and you as professionals.
We host amazing and quality events and implement people-centric policies to work flexibly. We ensure that everyone in our expansive network is engaged, from our internal employees and those who work on behalf our offshore partners.
Life within KMC: Work Hard Party Harder
At KMC, we work hard and we are committed to putting our best foot forward in everything we do. Everyone is encouraged to be an individual while also working for the collective good of the KMC Community. We believe mistakes are opportunities and that you should not present a solution without a problem.
We also know when hard work deserves to be recognized so we reward our employees with monthly parties, free trips and much much more!