Quality Analyst/ Senior Quality Analyst

• Ensure Providers collect 100% of the amount due from the Insurance, the first time, in the shortest time possible and at a lower cost.
• As an AR Quality Analyst, you will be responsible for effective feedback sharing, effective sessions, client interactions, and generating/distributing quality domain-related reports to the leadership team.
• A quality assurance system increases customer confidence and a company's credibility. It also improves work processes, efficiency, and competitiveness.
  

• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
• Very good understanding of RCM metrics like Ageing above 90 days, Collections, and bad debt
• Periodically monitor teams’ performance and recommend performance improvement plans wherever required.
• Hands-on in preparing daily, weekly monthly operational metrics reports from the Practice.
• Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues.
• Ensure projects are delivered on time with accuracy.
• Identify and resolve queries/issues that result in the delay of payment.
• Excellent time-management and self-governance skills
• Provide constructive feedback, given on a consistent basis with the aim of improving the quality of work done.
• Help in auditing transactions in different domains like Charge entry, Payment entry, and denial handling, and provide inputs on client-related issues, along with valuable suggestions to improve processes or client profile instructions.
  

• Minimum a Graduate in any field of their choice.
• Ability to work in night shifts i.e. 06:00 PM to 03:00 AM IST for Gurugram.
• Good understanding of Revenue Cycle Management (US Medical Billing), Provider/ Hospital
• 2+ years of experience as an AR caller and at least 1 year of experience as a Quality Analyst in US healthcare.
• Should identify and propose training needs based on the auditing.
• Ability to handle multiple tasks of reporting simultaneously.
• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities.
• Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.
  

• Ability to plan & prioritize work.
• Demonstrated ability to achieve targets.
• Good working knowledge of Microsoft Office.
• Good problem solving & decision-making skills.
• Must be self-motivated and detail-oriented.
• Six Sigma and quality tools knowledge is an added advantage.
  

About FinThrive

FinThrive is advancing the healthcare economy.

Award-winning Culture of Customer-centricity and Reliability

Our Perks And Benefits

• Professional development opportunities
• Term life, Accidental & Medical Insurance
• Meal and Transport arrangements
  

FinThrive’s Core Values and Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision-making, adhere to FinThrive’s core values of being Customer-Centric, Agile, Reliable, and Engaged, operate effectively in the FinThrive environment and the environment of the workgroup, maintain a focus on self-development and seek out continuous feedback and learning opportunities
• Support FinThrive’s Compliance Program by adhering to policies and procedures about HIPAA, GLBA, FCRA, and other laws applicable to FinThrive’s business practices; this includes becoming familiar with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.