You will work closely with the Audit Department of QIMA to ensure that our MA Audit programs consistently exceed our clients’ expectations. Your main responsibilities will be to: 

• Audit the manufacturing sites of our clients’ suppliers, mainly textile industry.
• Issue audit report within due day.
• Approach your job with utmost integrity, as your conduct during an audit can have lasting consequences for the supplier, factory staff, and our clients.

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or RN Chart Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

The PHRN Chart Auditor is responsible for conducting comprehensive reviews of patient care documentation in accordance with established standards, protocols, and regulatory requirements. This position plays a key role in maintaining the quality and accuracy of prehospital patient records. The PHRN Chart Auditor will collaborate closely with clinical staff, managers, and other stakeholders to identify areas for improvement and provide feedback for ongoing education and training.

• Conduct thorough reviews of prehospital patient care records to ensure compliance with established protocols and regulatory requirements.
• Verify the accuracy and completeness of documentation, including assessments, treatments, interventions, and other relevant information.
• Identify discrepancies, errors, or omissions in patient care documentation and provide constructive feedback to clinical staff and management.
• Collaborate with clinical teams to address and rectify identified issues, and provide guidance on best practices for accurate record-keeping.
• Maintain a thorough understanding of applicable regulations, standards, and guidelines governing prehospital patient care documentation.
• Assist in the development and implementation of educational programs and training materials related to proper documentation practices.
• Generate reports summarizing audit findings and trends, and present findings to relevant stakeholders as needed.
• Participate in quality improvement initiatives to enhance overall patient care quality and documentation accuracy.
• Stay updated on industry trends, best practices, and regulatory changes related to prehospital patient care documentation.

• Current and valid PHRN license
• Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.
• Excellent attention to detail and analytical skills.
• Effective communication and interpersonal abilities.
• Ability to work independently and collaboratively in a team-oriented environment.
• Commitment to continuous learning and professional development.
• Willing to work on shifting schedule.

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

• Current and valid PHRN license
• 1 year work experience in a clinical setting
• Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.
• Excellent attention to detail and analytical skills.
• Good Verbal and Written English Communication Skills​
• Ability to work independently and collaboratively in a team-oriented environment.
• Commitment to continuous learning and professional development.
• Willing to work on shifting schedule.

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

Ubix Corporation, a well-established retail company, is seeking a detail-oriented and experienced Internal Auditor to join our team. As an Internal Auditor, you will play a crucial role in evaluating and enhancing our internal controls, risk management processes, and financial operations efficiency. With your strong analytical skills and excellent attention to detail, you will contribute to the overall success of our business by ensuring compliance and identifying areas for improvement.

Responsibilities

• Conduct comprehensive audits of financial, operational, and compliance processes to assess effectiveness and identify any gaps or risks.
• Develop and execute audit plans, including the identification of key risks and controls, and ensure adherence to established policies and procedures.
• Analyze financial statements, internal controls, and operating processes to identify weaknesses and recommend improvements to management.
• Evaluate business processes, systems, and best practices to identify areas for cost savings, efficiency improvements, and risk reduction.
• Prepare detailed audit findings reports, including recommendations for corrective actions, and present them to management and stakeholders.
• Coordinate with external auditors and assist in the preparation of audit schedules, ensuring timely completion of audits and compliance with regulatory requirements.
• Stay up-to-date with industry best practices, regulatory changes, and emerging risks to maintain internal auditing standards and recommend adjustments to policies and procedures as necessary.

• Bachelor's degree in Accounting, Finance, or a related field.
• CPA, CIA, or other relevant certifications preferred.
• Minimum [X] years of proven experience in internal auditing or public accounting.
• Extensive knowledge of accounting principles, auditing standards, and regulatory requirements.
• Strong analytical skills with the ability to gather and interpret complex data.
• Excellent verbal and written communication skills to effectively communicate findings and recommendations to various stakeholders.
• Proficient in using audit tools and software.
• Exceptional attention to detail and ability to work independently and meet strict deadlines.
• Strong problem-solving and critical-thinking abilities.
• Ability to travel domestically [X]% of the time, as required.
• Experience in the retail industry is a plus.

#1 PH Workforce Delivering to the US.

BizForce and our healthcare division, MedCore Solutions, are seeking a skilled and detail-oriented Charge Entry Auditor (Permanent Work from Home) to join our team. As a Charge Entry Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy and compliance with coding guidelines and billing regulations. This role plays a critical part in ensuring the financial health of our clients by maximizing revenue and minimizing reimbursement denials. If you have a strong understanding of US healthcare regulations, excellent attention to detail, and a passion for delivering quality healthcare services, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Review and audit medical claims for accuracy and compliance with coding guidelines and billing regulations
• Identify and rectify coding errors and discrepancies
• Ensure proper charge entry for services rendered
• Collaborate with internal teams to resolve claim-related issues
• Provide education and training to coding and billing teams regarding documentation and coding guidelines
• Maintain knowledge of current coding and billing regulations and industry updates
• Liaison between Revenue Cycle and the managed care payors in the escalation of revenue cycle issues that prevent NM from realizing correct reimbursement in accordance with the managed care contracts.
• Collaborates with many internal departments to gather payor issues to escalate and work with payor to resolve. Internal departments include but are not limited to: Patient Accounting, Access, UM, QU, Compliance, Legal, Risk management, clinical areas, IT, Medical Records, CVO, Quality.
• Works with external Revenue Cycle Vendors and consultants when directed to for project work or resolution of payor issues.
• Responsible for validating contract rates and rate language loaded into EPIC in conjunction with MC Specialist prior to contracts being uploaded into the live environment.
• Responsible for understanding the terms of the managed care contracts assigned to be able to assist other areas when needed.
• Investigates issues to understand root cause and makes recommendations for resolutions.
• Responsible for holding regularly scheduled meetings with Revenue Cycle to review outstanding payor issues.
• Responsible for coordinating monthly payor meetings with Revenue Cycle teams and payor representatives to bring issues to resolution.
• Performs special projects related to AR or payor contracts as assigned by supervisor.

Other Details:

Possible start date will be in 2 weeks or earlier

8 hour shift Monday-Friday (graveyard shift; US work hours)

Weekend days off

• Minimum 3 years of experience in charge entry or medical billing/coding/auditing in the US healthcare industry
• Proficient understanding of CPT, HCPCS, and ICD-10 coding guidelines and procedures
• Knowledge of medical billing, accounts receivables, claim submission, and reimbursement processes
• Strong attention to detail and analytical skills
• Excellent written and verbal communication skills
• Ability to work independently and collaboratively in a team environment
• Proficient in using electronic medical record (EMR) systems and billing software
• Excellent interpersonal skills
• Excellent written and oral communication skills
• Amenable to work in a graveyard shift

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

Salary: P80,000 to P95,000 (Monthly Package)

Schedule: Tuesday to Saturday (8:00 AM to 5:00 PM PST)

What are we looking for?

Skills Required:

• Minimum of three years of current and/or recent audit experience in public accounting
• Bachelor 's degree from an accredited college/university
• Applied working knowledge of U.S. Generally Accepted Accounting Principles (GAAP) or Philippine Standards on Auditing (PSA) and accounting procedures.
• Ability to meet challenging client requirements, demonstrated supervisory experience, along with strong communication, interpersonal analytical skills, and research abilities.

What will you do?

• Execute the day-to-day activities of audit engagements and supporting the execution of a high-quality audit.
• Identify and communicate potential issues and opportunities for audit efficiencies and process improvement to Managers and Partners.
• Coordinate the day-to-day activities of audits and client interactions and ensuring efficient information flow from the client to the audit team.
• Support the design and execution of an engagement's audit approach and procedures in accordance with relevant regulatory professional auditing and assurance standards and applicable firm guidance and methodology.
• Demonstrate a working knowledge and staying current on developments in accounting literature' including those specific to assigned industries.
• Supervise Audit Associates and Interns on engagements and providing coaching' timely feedback' and reviewing their audit documentation.

Join the awesome team and enjoy these benefits & perks:

• Homebased work setup
• Medical, Dental Coverage and Life insurance from day 1 of employment
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Complimentary Sleeping Quarters, Coffee at no cost
• Complimentary Office Fitness and Wellness Facilities at no cost
• Regular Company Events, Work Life Balance, and Career growth opportunities
• Accessible location at the heart of Metro Manila --- the Mega Tower, EDSA

JOIN CONNECTOS NOW!

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

Our client is a Certified Public Accounting firm, based in San Francisco, CA, USA who has been in the business for over 30 years, and serviced both private businesses and public agencies at the city, state and national levels and have consistently satisfied their needs. With years of experience in accounting systems design, auditing and management consulting, they can provide the clients with objective analysis and prompt solutions that will lead to organizational growth by maximizing accounting and management controls.

#ConnectOS #ConnectOSCareers #TeamConnectOS

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age’, race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.