QA Health care

Job Title: Quality Assurance

Account: Healthcare

Work location/Set up: TP Alphaland 

Shift Schedule: GY

HC: 2

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Key Responsibilities :

•Review and verify medical reports for accuracy

•Maintain and update documentation systems

•Handled communications with stakeholders

•Monitor compliance with healthcare regulations

Non-Negotiable Requirements:

• PH Registered Nurse

• Registered Nurse with current, unrestricted US Registered Nurse license w/ BPO Experience and QA Experience

• Minimum 2 years of clinical bedside experience (ER, ICU, Med-Surg, Telemetry preferred).

• Minimum 1 year of USRN BPO or U.S. Healthcare experience in UM, CM, Appeals, Triage, or related clinical processes.

• Knowledge of MCG/Milliman, InterQual, clinical guidelines, HIPAA requirements, and U.S. medical terminology.

• Prior experience as a Quality Analyst, Clinical Auditor,...