Xtraordinary awaits YOU at Med-MetriX!

Our Benefit

• sSign On Bonus 30
• KDay 1 HMO with 2 of your dependents covered for FRE
• EMedical Cash Allowanc
• eRice Allowanc
• eClothing Allowanc
• ePaid Time Of
• fTraining and Staff Developmen
• tEmployee Engagement Activitie
• sOpportunities for Internal Mobilit

y
Job Purpos

e The Quality Analyst, AR Follow Up supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The position also requires engagement in working on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and collaboration with the Operations and Training Team is essentia

l.
Duties and Responsibiliti

• es Ensure that project related quality processes are followed by denials analyst and client specific and internal metrics are achiev
• ed.Prepare detailed reports on audit findings and understand the quality requirements both from process perspective and for targets. Deliver quality reports in a timely mann
• er.Identify a method to achieve the quality targets and implement the same in consultation with QCA lead and/or managers. Assist with the Quality Assessment process to ensure all quality standards targets can be m
• et.Participate in performance improvement activities and continuing education to maintain current credentials and enhance knowledge and skil
• ls.Share all relevant information with the team and take initiative to ensure team members get projects completed. Participate in client presentation of findings, when request
• ed.Adjust workloads as necessary to achieve successful completion of proje
• ct.Handle complaints, questions, and queries as necessa
• ry.Disseminates changes in guidelines and rules; monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement to assure complian
• ce.Foster an environment of teamwork and service excellence within the departme
• nt.Participate in conference calls/meetings with management and staff to ensure all performance and training recommendations are addressed and improvement suggestions are implement
• ed.Assist in new hire training classes, transition periods and refresher trainings as need
• ed.Knowledge of, understanding of, and compliance with all Med-Metrix policies and procedur
• es.Participates in presentations to educate staff on outcomes and plans of correcti
• on.Ability to meet assigned deadlines and work under minimal supervision and with all levels of staff and manageme
• nt.Maintain required productivity standar
• ds.Perform other duties as necessa

ry.
Qualificati

• ons At least 1-year previous work experience as a Quality Analyst in healthcare insurance collections, self-pay collections and customer service in a call center setting or compliance and/or train
• ing.Must have strong understanding of the basic healthcare revenue cycle operational processes such as the functions of insurance, patient billing & collections, Managed Care, Medicare, Medicaid, and Commercial Pract
• icesExperience with practice management systems. EPIC PB, Allscripts and/or Cerner prefer
• red.Experience with Physician/Professional Bill
• ing.Knowledge of the denied claims and appeals proc
• ess.Must have an experience in outbound transaction AR process (Pay
• ers)Ability to navigate through multiple software and computer applicati
• ons.Detail oriented and well organ
• izedAbility to perform under pressure in a calm manner & maintain a positive attit
• ude.Excellent customer service, verbal, written, listening and interpersonal ski
• lls.Knowledge of EOBs, CPT & ICD-9 & 10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/ referr
• als.Capacity to maintain a high level of objectivity when completing staff revi
• ews.Proficient computer skills including Microsoft Office Suite. Must have intermediate Excel skill
• set.Self-motivated and resourceful with the ability to multitask and successfully operate in a fast paced, team environm
• ent.Experience with training new us
• ers.Ability to work well individually and in a team environm
• ent.Must adapt well to change and successfully set and adjust priorities as nee
• ded.Strong communication skills/oral and writ
• ten.Strong analytical sk
• illsStrong organizational sk
• illsMust be willing to work during US h
• oursMust be amenable to work onsite in Ortigas, Pasig

Please refer to job description.