Job Description
Salary: PHP 30,000 - 40,000 / month
Job Description:
- Conduct routine and random audits of healthcare billing transactions including charges, payments, claims follow-up, denials, and AR activities.
- Review daily, weekly, and monthly productivity reports of billing associates.
- Validate logged production against actual completed work.
- Investigate quota discrepancies, overstatements, duplicate entries, or unsupported outputs.
- Monitor AR aging inventory and collector activity.
- Audit follow-up actions for unpaid, denied, underpaid, or pending claims.
- Ensure adherence to client SOPs, HIPAA standards, internal controls, and company policies.
- Monitor completion of required trackers, checklists, and month-end deliverables.
- Support implementation of new controls, metrics, and process enhancements.
- Prepare QA scorecards, performance dashboards, and error trend analysis.
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