Job Title: Quality Control Analyst - AR
Department: Quality Control
Job Location: Tiruchirappalli, Tamil Nadu, India
Posted On: 18 Feb 2025
Closing Date: 04 Mar 2025
Grade: 1D
Designation: Quality Control Analyst - AR
Key Responsibilities:
Denials Processing & Claims Follow-Up:
Manage day-to-day activities of Denials Processing, Claims follow-up, and Customer Service.
Ensure project-related quality processes are followed by associates and that both client-specific and internal metrics are achieved.
Track and trend data to identify areas for improvement.
Client Interaction:
Participate in client calls to understand quality requirements and targets from both a process and goal perspective.
Develop strategies to meet these quality targets, consulting with operations or team managers.
Error Tracking & Feedback:
Collect data on errors in transactions (e.g., charts, claims, EOBs).
Provide face-to-face feedback to employees and send email communication detailing errors.
Offer coaching to employees to minimize errors and enhance performance.
Training & Process Familiarization:
Provide inputs to the training team on common errors to enhance training curricula.
Test files and batches for new clients/processes as part of familiarization.
Prepare and maintain daily quality status reports.
Quality Assurance:
Generate daily QA reports.
Ensure internal and external SLAs are met as per defined processes.
Strictly adhere to company policies and procedures.
Required Skills and Experience:
Experience: 3-5 years of relevant experience in quality control or auditing, with at least 1.5 years in the healthcare industry.
Skills:
Strong problem-solving and issue resolution abilities.
Excellent verbal and written communication skills.
Solid understanding of healthcare concepts, revenue cycles, medical billing, and accounts receivable.
Must be proficient in product and process knowledge.
Strong analytical and judgmental skills.
Ability to coach and train others effectively.
Additional Requirements:
Ability to prepare and maintain quality status reports.
Sound knowledge of process improvement methodologies.
This is an excellent opportunity for someone with a solid background in healthcare process quality, auditing, and claims follow-up. Strong communication skills and experience in training and coaching are essential.
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