International Quality Indicator Project Healthcare Operations Analyst (Metro Manila,Philippines) Remote · Contractor Company website

Apply for Healthcare Operations Analyst (Metro Manila,Philippines)

We are a growing Healthcare Management Services Organization (MSO) that partners with U.S.-based healthcare providers to streamline and manage their administrative operations. Our mission is to reduce the operational burden for our providers so they can focus on delivering high-quality patient care.

Key Responsibilities

• Review, process, and resolve healthcare claims in compliance with company and regulatory standards.
• Assist with billing inquiries, reconcile accounts, and ensure timely and accurate payment posting.
• Support provider credentialing processes, including verification of qualifications, documentation, and compliance with payer requirements.
• Handle inquiries from patients, providers, and payers with professionalism and empathy, ensuring issues are resolved promptly.
• Maintain accurate records, generate operational reports, and identify opportunities for process improvements.
• Work closely with cross-functional teams to streamline workflows and enhance operational efficiency.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field preferred.
• Minimum of 2–3 years of experience in healthcare operations (claims, billing, credentialing, or customer service).
• Strong knowledge of healthcare processes, insurance policies, and regulatory compliance.
• Excellent communication skills (verbal and written) in English.
• Proficiency in MS Office and healthcare management systems.
• Detail-oriented, analytical, and able to manage multiple priorities.