AR QA Supervisor / Healthcare Collections QA Supervisor - Manila

• Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

Job Summary:

The ideal candidate will have a strong understanding of healthcare revenue cycle operations and payer billing guidelines, along with a minimum of 3 years of AR experience.

Key Responsibilities:

• Supervise and oversee the AR QA team to ensure accurate and compliant processing of accounts receivable transactions.
• Develop and maintain QA processes and metrics for performance auditing, quality checks, and workflow monitoring.
• Perform regular audits of AR staff performance related to claim follow-up, denial resolution, and payment posting accuracy, when needed.
• Identify trends in errors or performance gaps and collaborate with leadership to implement corrective actions and training.
• Monitor adherence to payer policies, reimbursement schedules, and internal SOPs.
• Track and report quality performance data to management, including audit results, error rates, and productivity insights.
• Recommend and assist in the implementation of process improvements and system enhancements to optimize AR operations.
• Stay up to date with payer changes, industry trends, and revenue cycle compliance regulations.
• Support department leadership in strategic planning, policy development, and special projects as needed.

Qualifications:

Education & Certification:

• Associate or bachelor’s degree in business, Healthcare Administration, or related field preferred.
• Certification in Revenue Cycle (e.g., CRCR) or healthcare finance is a plus.

Experience:

• Minimum 3 years of hands-on experience in Accounts Receivable within a healthcare, medical billing, or revenue cycle environment.
• At least 3 years of experience in quality assurance, team lead, or supervisory role preferred.

Skills & Competencies:

• Strong knowledge of AR processes including claims submission, denials, follow-up, payment posting, and adjustments.
• Familiarity with payer-specific guidelines, EOBs, and reimbursement methodologies.
• Proficient in EHR and AR systems (e.g., EPIC, Athena, NextGen, or similar).
• Strong analytical skills with attention to detail and data accuracy.
• Excellent communication, leadership, and interpersonal skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Proficiency in Microsoft Office Suite, particularly Excel, for data tracking and reporting.

Preferred Qualifications:

• Experience in multi-specialty, hospital, or large physician group AR.
• Working knowledge of federal and state billing compliance standards.
• Prior experience in remote or hybrid team management.