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Quality Assurance Specialist | Work From Home - job post

Vector Outsourcing Solutions Phils., Inc.
4.1 out of 5 stars
MandaluyongRemote
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Job details

Job type

  • Full-time

Full job description

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.

Minimum Qualifications: Salary: PHP 30,000 - 40,000 / 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.

We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and become one of our leaders as we continue to grow. Vision: To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer service Mission: To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovation Values: Transparency Honesty Accountability Trust Responsibility Efficiency Adaptability Innovation Respect
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