AR Quality Manager - Hyderabad

ECLAT Health Solutions

Hyderabad

On-site

INR 4,000,000 - 6,000,000

Full time

8 days ago

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Job summary

Eclat Health Solutions India Pvt Ltd in Hyderabad seeks an experienced AR Quality Assistant Manager / Manager to lead QA across US Healthcare RCM. You will drive quality performance, improve calling accuracy, reduce errors, ensure compliance, and mentor a team of quality analysts.

The role requires 11–16+ years in end-to-end RCM quality, expertise in audits, denial management, CAPA, and dashboards. You will collaborate with Operations and Training to implement improvements and ensure adherence

Qualifications

11–16+ years of experience in US Healthcare RCM.
Strong experience in AR Quality Assurance / Quality Audits / Denial Management.
Proven leadership experience managing quality teams and driving process improvements.

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.

Skills

AR Quality Assurance

Quality Audits

Leadership

Stakeholder Management

Communication

Tools

MS Excel

Reporting Dashboards

Job description

Hello Connections,

Greetings from Eclat Health !!!

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

Location: Hyderabad

Industry: Healthcare / US Healthcare RCM

Experience: 11 - 16+ Years in End to End RCM for Quality

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

11 - 16+ years of experience in US Healthcare RCM.
Strong experience in AR Quality Assurance / Quality Audits / Denial Management.
Minimum 23 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)