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
Number of Openings: 1
Designation: Quality Control Analyst - AR
Role Description Overview:
The Quality Control Analyst is responsible for managing the day-to-day activities of Denials Processing, Claims Follow-up, and Customer Service. The role ensures that quality processes are followed by associates, client-specific and internal metrics are achieved, and provides coaching to employees. The QC Analyst will track and trend data for improvement.
Key Responsibilities:
Participate in client calls to understand quality requirements and targets.
Collaborate with the operations manager/team manager to implement strategies to achieve quality targets.
Collect data on individual transactions (chart, claim, EOBs) related to errors.
Provide daily face-to-face feedback and send emails detailing errors.
Coach employees to minimize errors and improve performance.
Provide feedback to the training team to enhance training curriculum based on common mistakes.
Test files/batches for new clients or processes.
Generate QA reports on a daily basis.
Ensure attainment of Internal & External SLAs as per process definition.
Strictly adhere to company policies and procedures.
Qualifications and Experience:
Minimum 1.5 years of professional and relevant experience.
Extensive experience in audits, coaching, and training as per process definitions.
Sound knowledge of healthcare concepts.
Excellent verbal and non-verbal communication skills.
Strong critical problem-solving and issue resolution abilities.
Strong analytical and judgmental skills.
Must have good product and process knowledge.
This role is ideal for someone with a background in healthcare quality control, particularly in denials processing and claims follow-up. Strong communication, analytical skills, and the ability to coach and train employees are key to success in this position.
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