Quality Assurance Assistant Manager
4 weeks ago
Job Summary:
As part of the Tech Enabled Services (TES) Team of Kavi India, the Assistant Manager - Quality Assurance performs all activities responsible for ensuring the quality of claims worked by Claim Processing Executives (CPE)/ Senior Claims Processing Executives (SCPE).
Key Responsibilities:
• Conducts internal audits of claims worked by CPE/ SCPE to ensure client & company Standard Operating Procedures and Best Practices are being followed.
• Records QA Scores and escalates variations in QA Scores to Supervisor for review prior to finalising the QA scorecard.
• Analyses periodic and regular individual QA scores and maintain reports database
• Performs root cause analysis and recommends training and other remedial measures
• Provides constructive feedback to CPE/ SCPE based on QA scores on a regular basis.
• Manages Quality Assurance Team members.
• Assists in the creation, development, and implementation of Quality Assurance score cards for various areas of the company.
• Trends QA scores and communicates findings along with recommending potential training needs to upper management.
• Assists in conducting complex special client-based audits.
• Supports Supervisor/Manager with special projects and other high-level roadblocks
Requirements:
• Bachelor's Degree required.
• Master's Degree is recommended.
• Minimum 5 to 7 years of experience
• 2 to 3 years QA related role experience is required.
• Experience in the US or UK healthcare industry OR billing & claims processing experience strongly desired.
• 2 years of auditing or analyst experience in the healthcare industry can also apply.
• Competent in MS Office Suite and Windows applications.
• Must demonstrate exceptional interpersonal skills and exhibit an approachable nature to answer questions from CPE/ SCPE.
• Mentor and train people regularly.
• Appropriately handle stress and interact cooperatively with others (at all levels of the organization).
• Ability to handle large volumes of work while maintaining attention to detail.
• Ability to work in a fast-paced environment.
• Work under limited supervision, be a self-starter, manage multiple tasks, and prioritise assignments within limited time constraints.
• Effectively communicate issues/problems and results that impact timelines for project completion.
• Ability to interact professionally at multiple levels within the organization.
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