Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Accounts Receivable Clinical Auditing Claims And Litigation Management Data Duplication Management KPI Reporting Analytical Dashboard Data Validation Payment Processing Software Validation Auditing +9 more

Other Skills

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Google Sheets
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Microsoft Excel
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Analytical Skills
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Coaching

Roles & Responsibilities

Bachelor's degree preferred or equivalent work experience.
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.
Advanced Excel / Google Sheets reporting skills; strong analytical, documentation, and stakeholder management skills.

Requirements:

Conduct routine and random audits of healthcare billing transactions including charges, payments, claims follow-up, denials, and AR activities.
Review productivity reports of billing associates and validate logged production against actual completed work.
Monitor AR aging inventory and collector activity.
Prepare QA scorecards, performance dashboards, and error trend analyses and present findings to Team Leads, Supervisors, and Management, providing structured feedback.

Vector Outsourcing Solutions Philippines

About Vector Outsourcing Solutions Philippines

At Vector Outsourcing Solutions Phils. Inc, our mission is to establish ourselves as the ‘Best in Class’, in the delivery of healthcare management services and billing services. We handle each and every client as if they are our only client by providing individualized business plans and keeping the client informed of the ever changing healthcare industry. Our attentiveness to your billing, your practice needs and your path to success will exceed all expectations. We believe that our success can only be measured through the success of the medical practices we manage.We are fast growing US based healthcare BPO supporting medical groups, dental groups, diagnostic laboratories, urgent care centers and other ancillary health care providers. Join us now and end up on top as we continue to expand.Vision:To improve healthcare delivery by placing the needs of both providers and patients at the forefront and delivering exceptional customer serviceMission:To provide world class customer service, that drives efficiency and progress within the healthcare system, by working together in a culture of continuous improvement and innovationValues:TransparencyHonestyAccountabilityTrustResponsibilityEfficiencyAdaptabilityInnovationRespect

Company type: SME

Founded: 2018

Company size: 51 - 200

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Job description

Salary: PHP 30,000 - 45,000 / month

Job 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.

Minimum Qualifications:

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.

Others: