QA Manager

1 day ago

Taguig, National Capital Region, Philippines ALLDIGI TECH MANILA, INC. (AMI) Full time ₱2,000,000 - ₱2,500,000 per year

Job Summary: The Quality Assurance Manager will be responsible to lead and enhance QA processes within Revenue Cycle Management (RCM), 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

· 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.

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