Quality Analyst/ Senior Quality Analyst

Location: Gurugram, India

The impact you will make

Ensure Providers collect 100% of the amount due from the Insurance, the first time, in the shortest time possible and at a lower cost.
As an AR Quality Analyst, you will be responsible for effective feedback sharing, effective sessions, client interactions, and generating/distributing quality domain-related reports to the leadership team.
A quality assurance system increases customer confidence and a company's credibility. It also improves work processes, efficiency, and competitiveness.

What you will do

Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
Very good understanding of RCM metrics like Ageing above 90 days, Collections, and bad debt
Periodically monitor teams’ performance and recommend performance improvement plans wherever required.
Hands-on in preparing daily, weekly monthly operational metrics reports from the Practice.
Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues.
Ensure projects are delivered on time with accuracy.
Identify and resolve queries/issues that result in the delay of payment.
Excellent time-management and self-governance skills
Provide constructive feedback, given on a consistent basis with the aim of improving the quality of work done.
Help in auditing transactions in different domains like Charge entry, Payment entry, and denial handling, and provide inputs on client-related issues, along with valuable suggestions to improve processes or client profile instructions.

What you will bring

Minimum a Graduate in any field of their choice.

Ability to work in night shifts i.e. 06:00 PM to 03:00 AM IST for Gurugram.

Good understanding of Revenue Cycle Management (US Medical Billing), Provider/ Hospital
2+ years of experience as an AR caller and at least 1 year of experience as a Quality Analyst in US healthcare.
Should identify and propose training needs based on the auditing.
Ability to handle multiple tasks of reporting simultaneously.
Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities.
Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.

What we would like to see

Ability to plan & prioritize work.
Demonstrated ability to achieve targets.
Good working knowledge of Microsoft Office.
Good problem solving & decision-making skills.
Must be self-motivated and detail-oriented.
Six Sigma and quality tools knowledge is an added advantage.