Medical Billing Quality Assurance Specialist

3 days ago

Ayala Alabang, National Capital Region, Philippines beBeeQuality Full time ₱800,000 - ₱1,200,000
Job Title:

Medical Billing Quality Assurance Specialist

Job Description:

This role involves ensuring compliance with billing standards, payer guidelines, and internal processes. The Quality Assurance Specialist will monitor work quality, provide actionable feedback, and partner with operations and training teams to drive performance improvements and reduce error rates.

  • Audit a daily sample of billers' case transcripts.
  • Document audit results in a standardized tracker and ensure completeness and consistency of findings.
  • Identify patterns and recurring errors from audit results and escalate major discrepancies or compliance risks to Team Leads or Ops Managers.
  • Collaborate with TLs and Trainers to align on recurring issues and plan targeted coaching or refresher training sessions.
  • Support calibration sessions to maintain scoring alignment with client and operational leads.
  • Provide clear and structured feedback to specialists based on audit results.
Responsibilities:

The Quality Assurance Specialist will also be responsible for generating and analyzing daily, weekly, or ad hoc QA reports to provide insights on team quality trends and process bottlenecks.

Additionally, they will flag outliers, productivity-to-quality gaps, and compliance risks in collaboration with Operations and Training.

Required Skills and Qualifications:
  • Fluent in English (C1 level or above), with strong communication and leadership skills.
  • Excellent verbal and written communication skills in English, with the ability to express ideas clearly and concisely.
  • Be detail-oriented with strong analytical skills; Proficient skills with MS Office and Google Drive.
Benefits:

As a Quality Assurance Specialist, you will have the opportunity to work in a fast-paced, client-driven environment and thrive in a role that requires strong analytical, decision-making, and problem-solving skills.

Others:

This is an exciting opportunity to join our team and contribute to delivering high-quality services to our clients. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this role.

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