Quality Assurance Assistant Manager
4 weeks ago
Job Summary:
We are seeking a highly skilled Assistant Manager Quality Assurance to join our Tech Enabled Services (TES) Team at Kavi India. The successful candidate will be responsible for ensuring the quality of claims worked by Claim Processing Executives (CPE)/ Senior Claims Processing Executives (SCPE).
Key Responsibilities:
• Conduct internal audits of claims worked by CPE/ SCPE to ensure client & company Standard Operating Procedures and Best Practices are being followed.
• Record QA Scores and escalate variations in QA Scores to Supervisor for review prior to finalising the QA scorecard.
• Analyse periodic and regular individual QA scores and maintain reports database.
• Perform root cause analysis and recommend training and other remedial measures.
• Provide constructive feedback to CPE/ SCPE based on QA scores on a regular basis.
• Manage Quality Assurance Team members.
• Assist in the creation, development and implementation of Quality Assurance score cards for various areas of the company.
• Trend QA scores and communicate findings along with recommending potential training needs to upper management.
• Assist in conducting complex special client-based audits.
• Support 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.
Skills and Prerequisites:
• Must demonstrate exceptional interpersonal skills and exhibit an approachable nature to answer questions from CPE's and SCPE's.
• 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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