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Quality Assurance Specialist
Location
Philippines
Posted
48 days ago
Salary
₱30K - ₱45K / month
Seniority
Junior
Job Description
Quality Assurance Specialist
Vector Outsourcing Solutions Philippines
• Conduct routine and random audits of healthcare billing transactions including charges, payments, claims follow-up, denials, and AR activities • Review daily, weekly, and monthly productivity reports of billing associates • Validate logged production against actual completed work • Investigate quota discrepancies, overstatements, duplicate entries, or unsupported outputs • Monitor AR aging inventory and collector activity • Audit follow-up actions for unpaid, denied, underpaid, or pending claims • Ensure adherence to client SOPs, HIPAA standards, internal controls, and company policies • Monitor completion of required trackers, checklists, and month-end deliverables • Support implementation of new controls, metrics, and process enhancements • Prepare QA scorecards, performance dashboards, and error trend analysis • Present findings to Team Leads, Supervisors, and Management • Provide structured feedback to employees and leaders based on audit results.
Job Requirements
- Bachelor's degree preferred or equivalent work experience
- Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
- Minimum 1–3 years experience in Healthcare Billing, Medical Billing, Dental Billing, AR, or Revenue Cycle Management
- QA or audit experience in a BPO/shared services environment preferred
- Strong knowledge of claims lifecycle, denials management, AR follow-up, payment posting, and productivity metrics
- Advanced Excel / Google Sheets reporting skills preferred
- Strong analytical, documentation, and stakeholder management skills.
Benefits
- Equipment/ company computer is provided
- Work from Home
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