Quality Assurance Consultant

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Vector Outsourcing Solutions Philippines

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🤝 B2B

🛍️ eCommerce

⚕️ Healthcare Insurance

B2B • eCommerce • Healthcare Insurance

Vector Outsourcing Solutions Philippines is a leading business process outsourcing (BPO) provider dedicated to enhancing the operational efficiency of its clients. With over 20 years of experience and a workforce of more than 300 employees, the company excels in delivering tailored outsourcing solutions, particularly to the healthcare sector, including services like medical billing and revenue cycle management. Vector Outsourcing focuses on optimizing client operations through technology and analytics, ensuring quality customer service, and reducing operational costs to foster growth for the businesses they support.

📋 Description

• Conduct routine and random audits of healthcare billing transactions including charges, payments, claims follow-up, denials, and AR activities • Review daily, weekly, and monthly productivity reports of billing associates • Validate logged production against actual completed work • Investigate quota discrepancies, overstatements, duplicate entries, or unsupported outputs • Monitor AR aging inventory and collector activity • Audit follow-up actions for unpaid, denied, underpaid, or pending claims • Ensure adherence to client SOPs, HIPAA standards, internal controls, and company policies • Monitor completion of required trackers, checklists, and month-end deliverables • Support implementation of new controls, metrics, and process enhancements • Prepare QA scorecards, performance dashboards, and error trend analysis • Present findings to Team Leads, Supervisors, and Management • Provide structured feedback to employees and leaders based on audit results

🎯 Requirements

• Bachelor's degree preferred or equivalent work experience • Consultancy basis minimum of 6 months consultancy contract (subject for renewal) • Minimum 1–3 years experience in Healthcare Billing, Medical Billing, Dental Billing, AR, or Revenue Cycle Management • QA or audit experience in a BPO/shared services environment preferred • Strong knowledge of claims lifecycle, denials management, AR follow-up, payment posting, and productivity metrics • Advanced Excel / Google Sheets reporting skills preferred • Strong analytical, documentation, and stakeholder management skills

🏖️ Benefits

• Equipment/ company computer is provided • Work from Home