Asst. Quality Manager
5 hours ago
Job Summary: The Quality Assurance Assistant Manager will be responsible to lead and enhance QA processes within healthcare account, ensuring accuracy, compliance, and continuous improvement.
Key Responsibilities:
· Develop and enforce QA standards and evaluation metrics.
· Lead the QA team to ensure timely audits, compliance, sampling and adherence to quality protocols
· Develop and share quality reports, RCAs, develop and deploy corrective and preventive action plans
· Ensure process meets quality standards consistently
· Provide recommendations on personnel performance and training needs.
· Mentor QA staff and drive a culture of accuracy and improvement.
· Track and report key quality metrics using analytics tools.
· Establish real-time monitoring dashboards and share insights with leadership
· Conduct root cause analysis to identify systemic issues and improve workflow efficiency.
· Publish weekly dashboards and monthly reports for clients
Qualifications:
· Bachelor's degree
· 5+ years of experience in RCM or healthcare, with 3+ years in leadership in QA processes.
· Comprehensive knowledge of end-to-end RCM, including billing, coding, and claim management.
· Strong knowledge of CPT, ICD-10, HCPCS codes, and payer-specific billing rules.
· Expertise in QA methodologies, Six Sigma, or Lean principles.
· Proficiency in QA software, RCM systems, and data analytics tools.
· Strong analytical, communication, and problem-solving skills.
· Proven ability to manage and mentor teams effectively.
Job Type: Full-time
Pay: From Php60,000.00 per month
Work Location: In person
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