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IKS HEALTH
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Quality Expert - EVBV/AR/Billing (US Healthcare RCM)

Quality Expert - EVBV/AR/Billing (US Healthcare RCM)

IKS HEALTH

3 - 7 years

4 - 6 Lacs

navi mumbai

Posted:4 days ago| Platform:

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Skills Required

rcm ar revenue cycle management eligibility verification quality ar calling voice process ar caller credit balance medical billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

READ POST BEFORE APPLYING

Interview Process:

1- Online Assessment (50 MCQ's based on RCM knowledge and Aptitude)

2- Virtual Interview

Weekends Off

Skills Required :

Minimum 3+ years of experience in RCM domain in US Health, preferably in Quality

Eligibility Verification

Expertise in
medical billing end to end RCM
Strong knowledge on various denials and remark codes and able to take immediate action to

resolve them and follow up on the claims for collection of payment

Monitor and analyze RCM process errors
Audit error corrections both short- and long-term
Quantify error rates and their trends individually, by team, by client, and by client pool
Analyze the errors to build training materials and tests
Create automation solutions to reduce error rates
Should be able to resolve billing issues that have resulted in delay in payment
Responsible for call/data quality monitoring
Provide feedback to agents using the prescribed feedback model
Mentoring and coaching agents on process-level issues
Monitor adherence to compliance procedures and processes
Responsible for reporting program-level quality scores to the process owners
Responsible for conducting calibration and performance review calls in terms of quality with

clients as well as the internal team

Conduct refresher training on the basis of the errors identified
Perform weekly analysis aiming at improving SLA
Perform brainstorming and root cause analysis to analyze data and provide tips or

suggestions to the operation/management team

Identify and highlight potential risk areas and recommend preventive action
Maintaining a robust monitoring system to ensure key program metrics are adhered to and

the required level of quality is maintained across the board

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