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Vector Outsourcing Solutions Phils. Inc.
Quality Assurance Specialist | Work From HomeVector Outsourcing Solutions Phils. Inc. • Mandaluyong City, Metro Manila, Philippines
Quality Assurance Specialist | Work From Home

Quality Assurance Specialist | Work From Home

Vector Outsourcing Solutions Phils. Inc. • Mandaluyong City, Metro Manila, Philippines
11 days ago
Job type
  • Quick Apply
Job description

Salary: PHP 30,000 - 45,000 / month

Job 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.

Minimum 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.

Others:

  • Equipment/ company computer is provided
  • Work from Home
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Quality Assurance Specialist | Work From Home • Mandaluyong City, Metro Manila, Philippines

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