Quality Analyst - AR Calling

We are seeking a detail-oriented and analytical Quality Analyst to monitor and evaluate the performance of the AR team involved in medical claims follow-up and denial resolution. The QA will ensure compliance with payer policies, improve process quality, and drive continuous improvements in collections and customer satisfaction.

Responsibilities :

·      Audit AR processes including claim status, denial resolution, and payment posting.

·      Identify performance gaps and provide feedback to AR agents.

·      Track quality metrics such as accuracy rate, productivity, and FTR (First Time Right).

·      Perform root cause analysis of denials and billing errors.

·      Develop and maintain QA reports and dashboards.

·      Ensure compliance with HIPAA and other federal regulations.

·      Collaborate with training and operations teams for upskilling initiatives.

·      Experience in Hospital & Physician Billing

·      HIPAA Compliance Training