Quality Auditor

JOB PURPOSE

A Quality Analyst in Accounts Receivable within US healthcare helps ensure the accuracy, efficiency, and compliance of the revenue cycle.

REQUIREMENTS

Education

Any Graduate

Experience

5+ years

Specialties (If Any)

Should have worked as a Quality Auditor for AR for at least 1 year with medical billing service providers

Certifications (If Any)

Essential Skills / Aptitude:

• Minimum of 1 year experience as a Quality Controller in Accounts Receivable (AR) with a recognized medical billing service provider; alternatively, a total of 5 years of relevant experience in medical billing, even if QA responsibilities are not formally documented.
• Strong command of medical billing concepts and confident understanding of end-to-end process workflows.
• Demonstrated experience in healthcare revenue cycle management, including AR calling and audit procedures.
• Proven ability to adapt to evolving operational challenges and dynamic client requirements.
• Commitment to adhering to all organizational policies, compliance standards, and procedural guidelines.

KEY RESPONSIBILITIES

• Good and expertise knowledge in RCM, Denials, and AR process.
• Document audit findings and prepare detailed reports with recommendations for process improvements.
• Collaborate with AR specialists, billing teams, and to address audit findings and implement solutions.
• Review the work performed by AR team and document any quality issues.
• Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality.
• Check the reports developed by AR callers - aging analysis, understand days in A/R, top reasons for denials, etc.

KEY MEASURABLES

• AR Aging Reduction
• Denial Resolution Rate
• Escalation Resolution Rate

Send your resume to

careers@elicohcs.com

9866005442 / Whats app

Adress : Elico healthcare services C-56,

Apie, Indl Estate, Near Bharath Nagar Mmts

Railway Station, Sanath Nagar Railway Station, Sanath Nagar-500018