Quality Analyst AR
TLDR
Improve accuracy of US Healthcare RCM processes by auditing production, publishing quality scores, mentoring teams, and creating practical guides.
Quality Analyst
- Review teams’ production for errors and inaccuracies.
- Document and publish quality scores.
- Council and mentor team members to improve their quality scores.
- Create cheat sheets and reference guides to assist teams in improving quality.
- Be able to move seamlessly into the AR Analyst role temporarily if the need
arises.
- Identify and report common trends in teams’ production, denials and any global
issues.
- Maintain production and quality standards declared by the organization.
Requirements:
- Graduate in any discipline.
- Candidate should be willing to work from Chennai location- Work from office.
- 5+ Years of experience in US Healthcare RCM in posting transactions and AR
Follow-up.
- Should have a thorough understanding of Provider claim life cycle.
- Must have thorough knowledge of major insurance payers.
- Must have thorough knowledge of common denials.
- Must know standard practices of RCM.
- Must have understanding of common acronyms and nomenclature in US
Healthcare.
- Should have excellent written and communication skills in English. Good
grammar is a must.
- Must have fair knowledge of common CPT codes, transaction codes and reason
codes.
Experience: 5+ Years
Individual Contributor