Name: Jobpe
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Price range: Free

Direct Walkin - Quality Analyst - AR (RCM) Experienced Only Q Way Technologies

5.0 - 10.0 years

4 - 6 Lacs

chennai

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Job Summary: We are hiring a Quality Analyst with proven experience in AR (Accounts Receivable) within the US Healthcare RCM domain . The ideal candidate will be responsible for monitoring, evaluating, and enhancing the quality of AR Calling operations. Only candidates with relevant experience in AR RCM will be considered. Freshers and candidates from non-RCM backgrounds will not be shortlisted. Key Responsibilities: Audit AR caller calls and back-end transactions for accuracy, completeness, and compliance. Provide detailed feedback and conduct quality coaching sessions. Identify process gaps and recommend improvement strategies. Monitor performance trends and prepare quality reports for management. Ensure team adherence to client guidelines, HIPAA regulations, and internal quality benchmarks. Collaborate with the training and operations teams for corrective actions. Candidate Requirements: Minimum 4 to 5 years of experience as a Quality Analyst in AR (RCM) is mandatory . Strong understanding of AR calling processes including denial management, follow-up, and collections. Hands-on experience with quality audit tools and reporting formats. Excellent written and verbal communication skills. Detail-oriented with strong analytical and problem-solving skills. Preferred Skills: Familiarity with medical billing platforms (e.g., EPIC, Athena, Kareo). Knowledge of payer guidelines (Medicare, Medicaid, Commercial Insurance). Experience with Six Sigma or other quality methodologies is a plus. Compensation: Competitive and based on experience Important Note: This role is strictly for experienced professionals in AR Quality Analysis within the US Healthcare RCM domain. Freshers and candidates from other domains (e.g., Coding, Transcription, etc.) are requested not to apply. Contact HR / Naveen - 7397746784 / bnaveen.kumar@qwayhealthcare.com

Posted 1 week ago

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Specialist- Quality Auditor Noida R1 RCM

4.0 - 6.0 years

5 - 7 Lacs

Noida

Work from Office

Designation : Quality Analyst Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patients feedback surveys. Essential Duties and Responsibilities: Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Certification: N.A. Skill Set: Excellent written & verbal communication skills > Strong knowledge of MS Office (MS Excel & Power Point are Mandatory) > Excellent Personal & Interpersonal Skills > Knowledge of Quality Tools Like 5 Why's, Lean & RCA" > Good Knowledge of Denial & Follow Up Pre-requisite: Thorough understanding of AR Follow Up and Denials management Should have overall 3+ years of experience in RCM Follow up Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should be expertise/worked in EPIC Host Interetesed candidate can directly share their resume to krawat9@r1rcm.com

Posted 2 months ago

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Quality Control Specialist - RCM - Night Shift Anand Techverce

2.0 - 5.0 years

2 - 5 Lacs

chennai

Work from Office

We are hiring a QC Specialist with experience in the RCM – AR process The role involves auditing claims, payment posting, denials, and follow-ups, ensuring compliance with payer guidelines, identifying errors, and driving process improvements Required Candidate profile 3–5 years of experience in RCM AR process Strong knowledge of claims, denials, and AR follow-up. Proficiency in MS Excel & audit tools. Excellent analytical, reporting, and communication skills.

Posted Date not available

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