Start ASAP! USRN Quality Assurance Analyst | BPO - TP Alphaland

1. Conducting comprehensive quality assurance audits on service calls and other healthcare-related tasks
2. Providing detailed feedback and coaching to team members to drive continuous improvement
3. Analyzing performance data and identifying areas for process optimization
4. Collaborating with cross-functional teams to implement quality initiatives
5. Staying up to date with industry regulations and best practices
6. Contributing to the development of quality assurance tools and training materials

1. A registered nurse (USRN) with a minimum of 3 years' experience in a quality assurance or similar role
2. Excellent attention to detail and strong analytical skills
3. Proficiency in data analysis and reporting
4. Exceptional communication and coaching abilities
5. Adaptability and a keen interest in process improvement
6. Knowledge of healthcare industry regulations and compliance requirements

USRN QUALITY ASSURANCE JOB DESCRIPTION:

• Review and verify medical reports for completeness, accuracy, and consistency
• Maintain and update documentation in designated systems and databases
• Respond to enquiries and manage communications with internal and external stakeholders
• Monitor compliance with relevant healthcare regulations and standards
• Assist management in identifying and resolving documentation or compliance issues
• Ensure timely submission of reports and records in line with organizational deadlines
• Collaborate with cross-functional teams to address quality assurance concerns
• Flag discrepancies or inconsistencies in documentation and escalate as needed
• Participate in audits and support audit preparation efforts
• Contribute to continuous improvement initiatives in documentation and quality processes
• Participate in identification, conceptualization, implementation and execution of Quality Improvement Plans/Programs (QIP), Inter-Rater Reliability Testing to aid in the general improvement of performance of the staff
• Similar work as Tele consults and Clinical Services

QUALIFICATIONS:

• PH Registered Nurse
• Registered Nurse with current, unrestricted US Registered Nurse license
• At least one (1) year of experience in medical account for clerical or administrative support; someone experienced in handling or reviewing medical data or documentation
• Should have knowledge in doing QA in Clinical Setting
• Proficient in Microsoft Word, Outlook, and Excel
• Strong English communication skills both verbal and written; must be comfortable in taking phone calls and high-volume emails.
• Strong attention to detail and accuracy; proven ability to prioritize tasks and manage time effectively
• Ability to stay focused and adaptable under pressure and shifting priorities
• Strong attention to detail and accuracy
• Knowledgeable in US Healthcare Law and Care Coordination
• w/ BPO Experience and QA Experience
• Amenable for Work Onsite Setup
• Graveyard Shift