Quality Assurance Specialist
3 weeks ago
Job Purpose:
As a Quality Assurance Specialist at RecruiterPH, you will be responsible for ensuring that project-related quality processes are followed by associates. This includes tracking and trending data for improvement, providing coaching to employees, and analyzing client-specific metrics and internal metrics. You will also participate in call calibration to understand and identify targets.
Primary Duties and Responsibilities:
We are seeking a keen individual who is responsible for conducting audits for healthcare accounts. The role includes providing feedback, ratings, and coaching tips for agents, which must be communicated to agents and their assigned team lead. Key Accountabilities include delivering required number of QA monitors on a timely manner, providing quality metric analysis on compliance scores, and generating and trending daily/weekly/monthly QA-related reports.
Qualifications:
- At least 1-2 years of QA 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
- Impeccable communications skills – verbal and written
- Strong attention to details and strict adherence to guidelines
- Experience in coaching and mentoring is an advantage
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