QA Lead | USRN
Gratitude IncQA Lead | USRN
Job Description
Key Skills
1 candidate(s) have already applied for this Job. Apply now
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:
•Active and unrestricted U.S. Registered Nurse (USRN) license.
• 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, or Clinical Reviewer in a U.S. healthcare account.
• Strong analytical skills with high attention to detail and documentation accuracy.
• Excellent written and verbal communication skills.
Preferred
• Familiarity with coding systems (ICD-10, CPT) is a plus.
• Strong proficiency in MS Office tools and QA evaluation systems.
Role
QA Lead
Timings
Day Shift (Permanent)
Industry
Medical / Healthcare / Hospital
Work Mode
Work from office
Process
Chat
Functional Area
ITES / BPO / Customer Service
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
Get the Best Jobs
on your Fingertips
Similar Jobs
1 - 3 Year(s)
Confidential
Manila, Philippines
1 - 2 Year(s)
₱ 31 - ₱ 100K p.m
Manila, Philippines
1 - 2 Year(s)
₱ 20 - ₱ 25K p.m
Manila, Philippines
Service Delivery Manager
Gratitude Inc2 - 4 Year(s)
₱ 90 - ₱ 100K p.m
Manila, Philippines
1 - 3 Year(s)
Confidential
Manila, Philippines
2 - 10 Year(s)
₱ 20 - ₱ 36K p.m
Manila, Philippines
CSR Telco Account -Concentrix cubao
Gratitude Inc1 - 20 Year(s)
₱ 25 - ₱ 30K p.m
Manila, Philippines
Team Lead Health Care
Gratitude Inc2 - 5 Year(s)
Confidential
Manila, Philippines
2 - 5 Year(s)
Confidential
Manila, Philippines
Customer Service Representative
Gratitude Inc1 - 4 Year(s)
Confidential
Manila, Philippines