Sr. Quality Assurance Manager (RCM)

About Lennor Group

As a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.

Our brand, Lennor Metier, is a leading recruitment agency and headhunting firm in the Philippines, partnering with reputable companies to source top talent for direct-hire opportunities. It specializes in IT, Finance, Engineering, Sales & Marketing, Supply Chain, HR, and Executive Search.

Industry: Lennor Metier, recruiting on behalf of a Healthcare BPO company

Salary Range: ₱90,000 - ₱130,000

Work Setup: Hybrid

Shift Schedule: Mid Shift (3PM-11PM)

Location: Pasig City

Job Overview

We are seeking an experienced and detail-oriented Sr Quality Assurance Manager to drive quality assurance and process improvement efforts within Revenue Cycle Management (RCM) operations. This role is responsible for leading internal audits, ensuring regulatory compliance, and optimizing workflows related to accounts receivable.

As a key member of the quality leadership team, you will be responsible for developing and implementing QA frameworks, monitoring key performance metrics, and collaborating with cross-functional teams to enhance overall operational accuracy and efficiency. The ideal candidate is highly analytical, has strong knowledge of RCM best practices, and is capable of leading quality initiatives in a dynamic, fast-paced environment.

Your Responsibilities

Quality Oversight & Strategy

• Design and lead a scalable QA program specific to AR operations in forensic healthcare, ensuring precision, process integrity, and compliance.
• Define and enforce quality benchmarks, audit standards, and corrective action frameworks to enhance operational performance.
• Supervise and develop the AR QA team, fostering a high-performance culture through mentoring, coaching, and KPI-driven feedback.
  
  

Regulatory Compliance & Risk Mitigation

• Ensure AR processes align with legal and regulatory frameworks, including HIPAA, FCRA, and other applicable standards.
• Perform routine audits and risk evaluations to detect inconsistencies, privacy risks, or billing anomalies.
• Collaborate with compliance, legal, and billing teams to resolve concerns and proactively manage regulatory requirements.
  
  

Operational Review & Optimization

• Evaluate current AR workflows and recommend data-driven enhancements to minimize billing errors and support financial health.
• Monitor key metrics such as claim accuracy, cycle time, and cash flow impacts, using trends to inform decision-making.
• Initiate process redesigns or automation suggestions to boost long-term efficiency and scalability.
  
  

Internal Audits & External Coordination

• Plan and execute internal QA audits, document findings, and deliver insights to executive stakeholders.
• Support audit readiness by preparing documentation and liaising with external auditors or regulatory bodies.
• Ensure timely resolution of audit findings through structured remediation efforts.
  
  

Data-Driven Quality Improvement

• Analyze QA and AR data to uncover root causes of recurring issues and recommend preventive strategies.
• Deliver recurring reports to leadership highlighting performance, compliance gaps, and improvement outcomes.
• Utilize advanced tools for data extraction and reporting (e.g., Excel, SQL, QA platforms).
  
  

Stakeholder Collaboration & Communication

• Serve as the key liaison across AR, legal, finance, and compliance teams, aligning quality goals with cross-functional priorities.
• Lead discussions on audit outcomes, QA program updates, and compliance risks with transparency and strategic foresight.
• Promote a quality-first culture through regular updates, training, and interdepartmental alignment.
  
  

What Our Client Is Looking For

• Minimum 8 years of experience in accounts receivable, healthcare RCM, or forensic billing, with 5+ years in a QA leadership role
• Deep understanding of forensic healthcare billing systems and compliance standards (HIPAA, FCRA, etc.)
• Proven track record in leading quality audits and improvement programs within a regulated healthcare environment
• Expertise in QA tools, audit software, and data analysis platforms (Excel, SQL, QA dashboards)
• Strong leadership, presentation, and cross-functional coordination skills
• Professional certifications preferred: CHC, CPC, CQA, Six Sigma (Green/Black Belt)
• Experience with ERP and RCM platforms (e.g., Epic, Oracle, SAP)
• Exceptional analytical, problem-solving, and communication abilities
  
  

Why Join this Opportunity?

• Competitive Salary
• Day 1 HMO
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility
  
  

Ready to take the next step in your career? Submit your application now!

• We kindly request your patience as we receive a significant number of applications. Rest assured that our team will update your application's status soon. In the meantime, we encourage you to follow our LinkedIn page to stay informed about future opportunities and company updates.