AR Quality Asst Manager / AR Quality Manager - Hyderabad

ECLAT Health Solutions; Hyderabad; On-site; INR 1,200,000 - 2,400,000; Full time

Job summary

ECLAT Health Solutions in Hyderabad is seeking an experienced AR Quality Assistant Manager / Manager to lead quality assurance across US Healthcare Revenue Cycle Management. You will drive accuracy, reduce errors, and oversee a team of quality analysts.

The role requires 8–12+ years in US Healthcare RCM, leadership skills, and expertise in QA audits and denial management. You will build dashboards, monitor metrics, ensure SLA adherence, and collaborate with Operations and Training for continuous

Qualifications

• 8–12+ years of experience in US Healthcare RCM.
• Experience in QA/Quality Audits and Denial Management.
• Minimum 2–3 years of experience in quality leadership or team management.
• Strong knowledge of Physician Billing and/or Hospital Billing.

Responsibilities

• Lead and manage the AR Quality team for US Healthcare RCM operations.
• Monitor and evaluate AR calling, denial management, and account follow-up processes.
• Conduct quality audits, identify process gaps, and implement corrective and preventive actions.
• Drive quality improvement initiatives to enhance accuracy, productivity, and compliance.
• Analyze quality metrics, audit scores, error trends, and process performance.
• Conduct calibration sessions with Operations, Training, and Quality teams.
• Develop quality dashboards, reports, and performance review presentations.
• Ensure adherence to client SLAs, quality standards, and process guidelines.
• Coach and mentor Quality Analysts and Team Leads to improve performance.
• Collaborate with Operations and Training teams to drive continuous improvement.

Skills

AR Quality Assurance

Quality Audits

Denial Management

Team Leadership

MS Excel

Stakeholder Management

Tools

MS Excel

Job description

AR Quality Asst Manager / AR Quality Manager - Hyderabad

10 - 16 Years

Full-Time

Job Title: Assistant Manager / Manager – AR Quality (Accounts Receivable – RCM)

Experience: 8–12+ Years

Employment Type: Full-Time

Job Summary

We are looking for an experienced AR Quality Assistant Manager / Manager to lead quality assurance initiatives across US Healthcare Revenue Cycle Management (RCM). The role involves driving quality performance, improving AR calling accuracy, reducing errors, ensuring process compliance, and leading a team of quality analysts.

Key Responsibilities

• Lead and manage the AR Quality team for US Healthcare RCM operations.
• Monitor and evaluate AR calling, denial management, and account follow-up processes.
• Conduct quality audits, identify process gaps, and implement corrective and preventive actions.
• Drive quality improvement initiatives to enhance accuracy, productivity, and compliance.
• Analyze quality metrics, audit scores, error trends, and process performance.
• Conduct calibration sessions with Operations, Training, and Quality teams.
• Develop quality dashboards, reports, and performance review presentations.
• Ensure adherence to client SLAs, quality standards, and process guidelines.
• Coach and mentor Quality Analysts and Team Leads to improve performance.
• Collaborate with Operations and Training teams to drive continuous improvement.

Required Skills & Qualifications

• 8–12+ years of experience in US Healthcare RCM.
• Strong experience in AR Quality Assurance / Quality Audits / Denial Management.
• Minimum 2–3 years of experience in Quality leadership or team management.
• Strong knowledge of Physician Billing and/or Hospital Billing.
• Expertise in quality metrics, audit methodologies, RCA, CAPA, and process improvement.
• Excellent analytical, communication, stakeholder management, and leadership skills.
• Proficiency in MS Excel, reporting, and quality dashboards.

Preferred Experience

• Experience managing quality teams in a high-volume US Healthcare RCM environment.
• Knowledge of CMS-1500, UB-04, insurance follow-up, denials, and payer guidelines.
• Experience in client audits, quality calibration, and process transitions.

Key Performance Indicators (KPIs)

• Quality Audit Score
• Error Rate and Accuracy
• Process Compliance
• Root Cause Analysis and CAPA Effectiveness
• Quality Improvement and Client SLA Adherence