Quality Controller

4 days ago

Hyderabad, India CallHealth Services Pvt Ltd Full time

Position Overview:
The Quality Control Specialist for Medical Reports plays a crucial role in ensuring the accuracy, completeness, and quality of medical reports submitted for insurance purposes. This role involves reviewing and analyzing medical documents, verifying information, and ensuring adherence to established guidelines and regulatory requirements. The Quality Control Specialist works closely with healthcare professionals, insurance companies, and internal teams to maintain high standards of accuracy and consistency in medical reports.

Key Responsibilities:
Review Medical Reports: Thoroughly examine medical reports, including customer / patient histories, diagnoses, treatment plans, and other relevant information, to ensure accuracy, completeness, and compliance with industry standards and insurance guidelines.

Verification of Information: Cross-check all information provided in the medical reports, such as patient demographics, dates, procedures, medications, and test results, to ensure consistency and accuracy.

Compliance Monitoring: Ensure compliance with applicable regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and other privacy laws, as well as insurance policies and guidelines.

Quality Assurance: Identify and rectify errors, inconsistencies, or missing information in medical reports by collaborating with healthcare professionals, insurance providers, and other stakeholders.

Documentation and Reporting: Maintain detailed documentation of quality control activities, including identified issues, corrective actions taken, and overall performance metrics. Generate reports on quality control findings and trends, and communicate them to relevant stakeholders.

Process Improvement: Identify opportunities for process improvement, such as streamlining workflows, enhancing data collection methods, and implementing automated quality control tools to enhance efficiency and accuracy.

Collaboration and Communication: Collaborate effectively with internal teams, healthcare providers, insurance companies, and other stakeholders to address quality control issues, clarify requirements, and ensure timely completion of tasks.

Training and Education: Stay up-to-date with the latest medical terminology and insurance regulations. Provide training and educational resources to medical providers and other stakeholders to improve the quality of medical reports.

Qualifications and Skills:

- Bachelor's degree in a related field, such as healthcare administration, BAMS, BHMS, BDS, or a relevant scientific discipline.
- Knowledge of medical terminology, diagnostic procedures, treatment protocols.
- Familiarity with insurance policies, guidelines, and regulatory requirements related to medical reports.
- Strong attention to detail and excellent analytical skills to identify errors, inconsistencies, and missing information in medical reports.
- Ability to work independently and prioritize tasks in a fast-paced environment.
- Excellent written and verbal communication skills to effectively collaborate with diverse stakeholders.
- Understanding of privacy laws, such as HIPAA, and experience handling sensitive medical information securely.
- Strong organizational and time management skills to meet deadlines and handle multiple projects simultaneously.

**Job Types**: Full-time, Regular / Permanent

**Salary**: ₹15,000.00 - ₹30,000.00 per month

Schedule:

- Day shift
- Evening shift

Ability to commute/relocate:

- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 9620600321

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