Quality Assurance Consultant
Location
Philippines
Posted
2 days ago
Salary
₱30K - ₱40K / month
Seniority
Mid Level
Job Description
Quality Assurance Consultant
Vector Outsourcing Solutions Phils. Inc.
Role Description - 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. Qualifications - 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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