Quality Analyst - Medical Billing (RCM)
Pasig, National Capital Region
Posted 8 days ago
- Company:
- Gratitude Philippines
- Company Description:
- We At Gratitude Philippines Are Able To Successfully Cater To The Recruitment And Staffing Requirements Of BPO Sector From Onshore To Offshore Locations.We Take Special Care Of Bpo Briefing Process To Gain Maximum Output From The Candidate And Everything The Company Has To Offer. Executive Search Gratitude Philippines Recruitment Services That Help Clients Reduce Cost And Time Associated With Hiring The Right Talent. We Understand That Human Resource Is The Pivotal Element In Success Of Any Business, Thus Our Focus Is On Finding Right Candidates Who Can Contribute To Our Client’s Success. Payroll Management & Staffing Our Comprehensively Vetted Recruitment Process Over 14 Years In The Industry Has Equipped Us To Recruit The Right Candidates For Your Company.Our Pan Philippines Presence And Contract Staffing Facilities Give Unparalleled Access To A Vast Base Of Candidates, Who We Rigorously Screen And Evaluate To Ensure The Right Fit Within Your Organization.
- Contract Type:
- Full Time
- Experience Required:
- 5 to 10 years
- Education Level:
- Bachelor’s Degree
- Gender:
- Any
- Number of vacancies:
- 1
Job Description
2-3+ years’ experience in calling process.
With RCM experience
Can start immediately
Job Responsibilities:
Random Transactional Monitoring – Ensuring systematic Quality check of previous day’s production i.e. Analysis of account, Calling analysis, correct follow up, required action taken and updated software, updated productivity report.
Identifying errors critical to process such as wrong analysis results to incorrect follow up, Incorrect or incomplete information captured on call, Incorrect or incomplete action taken, incomplete production report.
Ensure the team must be aware of criticality of Fatal and non-fatal parameters/errors.
Ensuring the error must be communicated to associate and process owners. Associate provided constructive feedback about the error committed and corrected.
Ensuring that Corrective Action Policy is adhered to and Improvements seen on individuals being audited.
Ensure that every week team will be briefed about the major errors committed towards process. Team must be coached about the correct follow ups related to those errors.
Weekly/Monthly Quality performance report to be mailed to internal client on time. Reports generated must be error free.
Maintaining the Quality Metrics i.e. Process quality score, Individual quality score, number of errors, Corrective Action policy, Categorization of associates, documentation of Fatal errors, Improvement plans, Process Knowledge Test etc.
Responsible for random transaction audits and performance of new hires during OJT/Nesting period.