Quality Assurance Lead for Revenue Cycle Management

7 days ago


Pasig, National Capital Region, Philippines Med-Metrix Full time
Why Join Us?

At Med-Metrix, we offer a competitive benefits package, ongoing professional development opportunities, and a dynamic work environment. Our employees enjoy a range of perks, including day one HMO coverage, clothing allowance, free lunch daily, paid time off, and training and staff development programs.

About the Role

This Senior Manager, Quality RCM position is responsible for leading the QA processes within the AR Department, reporting to the Training and Quality Director. The ideal candidate will have extensive knowledge of forensic healthcare billing, AR processes, and QA methodologies.

Responsibilities
  • Quality Assurance Leadership: Develop and implement a comprehensive quality assurance program for accounts receivable in forensic healthcare, focusing on accuracy, compliance, and efficiency.
  • Compliance and Risk Management: Ensure that all AR processes comply with regulatory standards, including HIPAA and other forensic healthcare requirements.
  • AR Process Oversight and Improvement: Review, analyze, and optimize AR processes for forensic healthcare accounts, focusing on error reduction and improving cash flow.
Requirements
  • 8+ years of experience in accounts receivable, revenue cycle management, or forensic healthcare, with a minimum of 5 years in a quality assurance leadership role.
  • Proven experience managing AR processes within a forensic healthcare setting or similar regulated environment.
  • Strong knowledge of forensic healthcare compliance standards.


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