AR Quality Auditor - US Revenue Cycle Physician

Strivant Health; Mysuru; Presencial; INR 600.000 - 900.000; Tempo integral

Resumo da vaga

Strivant Health in Mysuru, Karnataka, India, is seeking a Quality Auditor for AR Follow-up within our Physician Revenue Cycle Management Services. The role focuses on quality audits, monitoring metrics, coaching AR team members, and collaborating with billing, coding, and operations to resolve discrepancies and drive improvements.

You will handle AR inventories, analyze denial trends, support training initiatives, and prepare QA reports.

Qualificações

• A bachelor's degree in healthcare-related or financial-related education programs, or equivalent relevant experience.
• 3+ years of physician revenue cycle experience, including physician collections, denials management, and appeals.
• Previous quality auditing, training, mentoring, or coaching experience required.
• Strong understanding of medical billing workflows and AR follow-up processes.
• Knowledge of CPT, ICD-9/10, and HCPCS coding systems.
• Experience working with medical billing systems and reporting tools.
• Ability to analyze data, identify trends, and recommend effective solutions.
• Experience creating and reviewing performance and quality reports.
• Strong written and verbal English communication skills.
• Excellent analytical, organizational, and problem-solving abilities.
• Advanced attention to detail and commitment to accuracy.
• Proficiency with Microsoft Office applications, including Excel and Word.
• Ability to influence, motivate, and develop team members in a positive and professional manner.
• Flexibility, adaptability, accountability, and a passion for helping others succeed.

Responsabilidades

• Audit accounts receivable follow-up activities for accuracy, completeness, and payer compliance.
• Track quality metrics and identify recurring trends, errors, and opportunities for improvement.
• Provide constructive feedback, coaching, and mentoring to AR team members.
• Collaborate with billing, coding, and leadership teams to resolve discrepancies and improve outcomes.
• Develop and maintain audit tools, QA documentation, and quality reporting mechanisms.
• Support onboarding and ongoing training initiatives for AR staff.
• Generate reports and recommend process improvements to enhance quality and efficiency.
• Ensure timely correction of errors to reduce denials and improve collections performance.
• Participate in compliance reviews and support audit readiness initiatives.
• Perform insurance follow-up and collections activities through payer calls and payer portals.
• Resolve complex denials, aged accounts, and challenging AR issues with minimal supervision.
• Analyze account activity and determine appropriate next steps for resolution.
• Verify claim adjudication and communicate with patients when necessary.
• Perform billing-related functions including rebills, claim corrections, and electronic submissions.

Conhecimentos

AR follow-up

Quality auditing

Data analysis

English communication

Formação

Bachelor's degree or equivalent

Ferramentas

Medical billing systems

Excel

Reporting tools

Descrição da vaga

Quality Auditor- AR Follow-up - Physician Revenue Cycle Management Services

Location: All shifts work onsite in our Mysore, India office located at: 3rd FLOOR, 828 and 829, Vijayanagara I Stage, Devaraja Mohalla Mysuru, Karnataka 570017. Hours: Monday - Friday from 5:30 pm - 2:30 am, IST

Status: Full-time

Find out more about our culture at https://strivanthealth.com/careers/

Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business.

Quality Auditor AR Follow-up – Position Summary

At Strivant Health, we are committed to delivering exceptional quality and accuracy across all aspects of physician revenue cycle management. As an AR Quality Auditor, you will play a critical role in ensuring the effectiveness, compliance, and accuracy of our Accounts Receivable operations. In this role, you will conduct quality audits, monitor performance metrics, identify trends, and provide coaching and guidance to AR team members. You will collaborate closely with billing, coding, and operations leaders to resolve discrepancies, support training initiatives, and drive continuous process improvement.

This position combines quality assurance, mentoring, reporting, and hands-on revenue cycle expertise. You will work with AR inventories, analyze denial and collection trends, assist with special projects, and serve as a valuable operational resource across multiple clients and billing systems. If you are analytical, detail-oriented, passionate about developing others, and enjoy solving complex revenue cycle challenges, this opportunity is for you!

What You’ll Do – Your Impact Matters

• Audit accounts receivable follow-up activities for accuracy, completeness, and payer compliance.
• Track quality metrics and identify recurring trends, errors, and opportunities for improvement.
• Provide constructive feedback, coaching, and mentoring to AR team members.
• Collaborate with billing, coding, and leadership teams to resolve discrepancies and improve outcomes.
• Develop and maintain audit tools, QA documentation, and quality reporting mechanisms.
• Support onboarding and ongoing training initiatives for AR staff.
• Generate reports and recommend process improvements to enhance quality and efficiency.
• Ensure timely correction of errors to reduce denials and improve collections performance.
• Participate in compliance reviews and support audit readiness initiatives.
• Perform insurance follow-up and collections activities through payer calls and payer portals.
• Resolve complex denials, aged accounts, and challenging AR issues with minimal supervision.
• Analyze account activity and determine appropriate next steps for resolution.
• Verify claim adjudication and communicate with patients when necessary.
• Perform billing-related functions including rebills, claim corrections, and electronic submissions.
• Manage desk inventory and help address high-priority accounts.
• Provide backup support to team members during absences or workload surges.
• Identify operational trends and recommend data-driven solutions.
• Assist with special projects and cross-functional initiatives.
• Participate in meetings, trainings, and industry webinars to stay current on payer regulations and best practices.

What You Bring to the Table

• A bachelor's degree in healthcare-related or financial-related education programs, or equivalent relevant experience.
• 3+ years of physician revenue cycle experience, including physician collections, denials management, and appeals.
• Previous quality auditing, training, mentoring, or coaching experience required.
• Strong understanding of medical billing workflows and AR follow-up processes.
• Knowledge of CPT, ICD-9/10, and HCPCS coding systems.
• Experience working with medical billing systems and reporting tools.
• Ability to analyze data, identify trends, and recommend effective solutions.
• Experience creating and reviewing performance and quality reports.
• Strong written and verbal English communication skills.
• Excellent analytical, organizational, and problem-solving abilities.
• Advanced attention to detail and commitment to accuracy.
• Proficiency with Microsoft Office applications, including Excel and Word.
• Ability to influence, motivate, and develop team members in a positive and professional manner.
• Flexibility, adaptability, accountability, and a passion for helping others succeed.

Why Join Us?

• Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers.
• A Culture of Excellence – We value accuracy, innovation, and teamwork.
• A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management.
• Opportunities to drive change and improve processes for greater efficiency.

Find out more about our culture at https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!