Quality Assurance Specialist

7 hours ago


Taguig, National Capital Region, Philippines RecruiterPH Full time

About the Role:

RecruiterPH is seeking a skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a crucial role in ensuring the quality of our healthcare services.

Key Responsibilities:

  • Conduct regular audits to ensure compliance with industry standards and company policies
  • Analyze quality metrics to identify areas for improvement
  • Participate in call calibration sessions to understand and identify targets
  • Generate and trend daily/weekly/monthly QA related reports
  • Provide real-time feedback during side-by-side sessions
  • Identify root causes for performance variance and recommend interventions

Qualifications:

  • At least 1-2 years of experience in a BPO setup
  • 6 months – 1 year experience in chart abstraction/prior authorization/claims denial with sound domain knowledge/clinical appeals and denial management
  • Healthcare exposure is ideal but not required
  • Excellent communication skills - verbal and written
  • Strong attention to detail and strict adherence to guidelines
  • Experience in coaching and mentoring is an advantage

What We Offer:

As a Quality Assurance Specialist at RecruiterPH, you will have the opportunity to work with a dynamic team and contribute to the delivery of high-quality healthcare services. If you are passionate about quality assurance and have the necessary skills and experience, we encourage you to apply for this exciting opportunity.



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