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Quality Manager (US Healthcare Medical Billing)

10 - 14 years

10 - 12 Lacs

Coimbatore

Posted:20 hours ago| Platform: Naukri logo

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Skills Required

Quality Audit Revenue Cycle Management Quality Management Payment Posting Process Audit US Healthcare Charge Entry Denial Management RCM Medical Billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Qualifications: Must have a strong background in US Healthcare Revenue Cycle Management (RCM) with expertise in auditing Demo & Charges, Payment Posting, Denial/AR Management, including process audits. Minimum 5 years of experience in a team management role. Roles and Responsibilities: Manage a team of 15-20 Quality Experts to ensure quality outcomes aligned with SLAs. Conduct audits, prepare reports, and perform detailed analysis to uphold quality standards. Collaborate with cross-functional teams (Operations, Training, etc.) to address process gaps and implement action plans. Drive client and internal calibrations to align quality metrics with expectations. Monitor and present process and business performance dashboards to internal and external stakeholders, including senior management. Perform end-to-end business diagnostics to identify risks, gaps, and areas for improvement. Plan resource allocation and execute the QA framework effectively. Facilitate ideation sessions to foster innovation and process enhancements. Coach and guide the team to achieve deliverables, including PKTs, audits, and regular team engagements. Key Skills: Expertise in auditing key RCM processes (Demo & Charges, Payment Posting, Denial/AR Management). Strong coaching, feedback, and mentoring capabilities. Analytical skills to identify process gaps and propose actionable improvements. Advanced report management and data interpretation abilities. Proficiency in numerical and statistical analysis. Note: Candidates without experience in the US Healthcare Medical Billing domain are requested not to apply for this position.

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www.rusanmedisys.com

Medical Devices

New Delhi

51-200 Employees

7 Jobs

    Key People

  • Dr. Ramesh Rao

    Founder and CEO

  • Sita Sharma

    Chief Technology Officer

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