Quality Assurance Specialist
MedRisk Philippines
Mandaluyong, NCR, Philippines
5d ago

Position Summary

The Quality Assurance Specialist will be responsible for performing Quality Assurance Review of various members of the Revenue Operations Department.

The QA Specialist will be expected to collaborate with the Training Specialist and Leadership as needed to ensure new processes are being followed effectively and to identify areas of opportunity that will result in more optimal employee performance and workflow efficiencies.

Primary Duties & Responsibilities

  • Perform quality assurance measures and evaluate the work of the Revenue Operations team and external partners to establish consistency in processes and business practices
  • Observe trends and communicate known issues with all internal departments
  • Monitor, review and report on the effectiveness of any new process implementation
  • Review workflows, processes and policies in an effort to improve upon existing quality standards
  • Understand all aspects of specific workflows and processes associated with assigned team and tasks and be able to research and resolve problems that arise
  • Report to leadership, at regularly defined intervals, team and individual member statistics
  • Collaborate with the Training Specialist as needed to update the documentation of all training materials
  • Provide assistance to Revenue Operations with various daily tasks and assignments
  • Exhibit good judgment and the ability to work effectively with limited supervision
  • Ensure confidentiality of all patient accounts by following HIPAA guidelines
  • Perform other duties as assigned
  • Maintain confidentiality about employees Quality performance.
  • Qualifications

  • Billing experience preferred
  • College degree preferred
  • Strong analytical skills
  • Ability to triage, prioritize and multitask
  • Flexibility to manage multiple high priority tasks
  • Solid written and verbal communication skills
  • Organizational and time management skills
  • Proficiency with MS Office Products, advanced Excel knowledge required
  • Knowledge of billing processes
  • Understanding of HIPAA policies and procedures
  • Willing to work on night shift
  • Preferably residing within Metro Manila only. Candidates in Cavite, Rizal, and Bulacan area are welcome to apply as long as they are amenable to report onsite in Rockwell Business Center Sheridan - South Tower, Sheridan St., Mandaluyong City

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