Posted on :
03-09-2024
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1 Vacancy
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Job Description
Job Title: Assistant ManagerQuality Assurance
Shift:6:30pm 3:30am (IST)
Tech Enabled Services(TES)
Location: Chennai India
As part of the Tech Enabled Services (TES) Team of Kavi India the AM performs all activities responsible for ensuring quality of claims worked by Claim Processing Executives (CPE)/ Senior Claims Processing Executives (SCPE).
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 clientbased audits.
Supports Supervisor/Manager with special projects and other highlevel roadblocks
This is not a remote position and the candidate will work from our Chennai office.
Education:
Bachelor s Degree required.
Master s Degree is recommended. Experience:
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 fastpaced environment.
Work under limited supervision be a selfstarter 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.
Employment Type
Full Time
Key Skills
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