QA Team Lead, AR

Job Title: QA, Team Lead AR

Location:

Experience

Employment Type:

Department:

About the Role:

QA Team Lead AR

Key Responsibilities:

• Lead and manage a team of Quality Analysts supporting AR operations.
• Monitor overall quality performance of the AR department, including call audits, documentation, and compliance adherence.
• Develop, review, and maintain quality audit frameworks, scorecards, and SOPs.
• Identify trends in audit findings and collaborate with Operations, Training, and Process teams to address root causes.
• Drive continuous improvement initiatives based on audit insights and performance data.
• Provide coaching and feedback to QA Analysts and AR team members to improve quality standards.
• Conduct regular quality calibration sessions with internal teams and stakeholders.
• Prepare and present quality reports and dashboards to senior management and clients.
• Ensure compliance with HIPAA regulations and other healthcare documentation standards.
• Stay updated with changes in payer policies, industry guidelines, and audit methodologies.

Skills & Qualifications:

• 7–9 years of experience in AR operations with at least 2–3 years in a QA leadership role.
• Strong understanding of AR and denial management processes within US healthcare/RCM.
• Proven ability to lead quality assurance initiatives and manage a team.
• Excellent knowledge of denial codes (CO, PR, OA, PI) and payer-specific policies.
• Experience in preparing quality audits, trackers, dashboards, and client-facing reports.
• Strong analytical, decision-making, and process enhancement skills.
• Hands-on experience with AR/RCM software such as

  Epic, eClinicalWorks (ECW), and Change Healthcare

  .
• Proficiency in MS Office tools (especially Excel, Word, and PowerPoint).
• Exceptional communication, interpersonal, and team management skills.
• The ability to work in a fast-paced environment with tight deadlines.

Preferred Qualifications:

• Quality certifications such as Six Sigma Yellow/Green Belt, Lean Management, or similar.
• Prior experience working directly with US clients or handling client escalations.