Quality Analyst - Billing, AR & Authorization

Asprcm Solutions; Chennai; Vor Ort; INR 420.000 - 720.000; Vollzeit

Benefits dieser Stelle

Own transport allowance

Zusammenfassung

ASP-RCM Solutions is seeking a Quality Analyst for AR, Billing & Authorization with 4+ years in Healthcare RCM quality. The role requires auditing medical billing, AR, charge entry, and authorization processes while ensuring HIPAA compliance and client guidelines.

The candidate should excel in analytics, Excel reporting, and documentation, and will provide feedback, compile scorecards, and drive continuous quality improvements with the team in Ambattur, Chennai.

Qualifikationen

• Bachelor's degree in any discipline.
• 1-4 years of experience in Healthcare RCM Quality or RCM Operations.
• Strong understanding of Medical Billing, AR Calling, Payment Posting, Charge Entry, or Prior Authorization processes.
• Good analytical and problem-solving skills.
• Proficiency in MS Excel and reporting.
• Excellent communication and documentation skills.
• Knowledge of HIPAA compliance and healthcare regulations is preferred.

Aufgaben

• Perform quality audits of medical billing, coding, charge entry, payment posting, accounts receivable (AR), and authorization processes.
• Review transactions and evaluate adherence to client guidelines, SOPs, and quality standards.
• Identify errors, process deviations, and improvement opportunities.
• Provide constructive feedback and coaching to team members based on audit findings.
• Prepare and publish quality reports, scorecards, and trend analyses.
• Track quality metrics and support achievement of process KPIs.
• Conduct root cause analysis (RCA) for recurring quality issues and recommend corrective actions.
• Participate in calibration sessions with operations and training teams.
• Ensure compliance with HIPAA regulations, payer guidelines, and client requirements.
• Support process improvement initiatives and continuous quality enhancement programs.
• Maintain audit records and documentation accurately.
• Collaborate with team leaders and managers to improve process performance and customer satisfaction.

Kenntnisse

MS Excel

Analytical skills

Communication skills

Documentation skills

Ausbildung

Bachelor's degree in any discipline

Tools

Reporting tools

Jobbeschreibung

Greetings from ASP-RCM Solutions!!!

We are hiring for Quality Analyst - AR, Billing & Auth

Designation: Quality Analyst / Senior Quality Analyst

Experience: 4+ Years with basic QA knowledge.

Shift: Night Shift (6:30 PM - 3:30 AM)

Transport: Own Transport (Allowance Provided)

Location: Ambattur, Chennai

Key Responsibilities

• Perform quality audits of medical billing, coding, charge entry, payment posting, accounts receivable (AR), and authorization processes.
• Review transactions and evaluate adherence to client guidelines, SOPs, and quality standards.
• Identify errors, process deviations, and improvement opportunities.
• Provide constructive feedback and coaching to team members based on audit findings.
• Prepare and publish quality reports, scorecards, and trend analyses.
• Track quality metrics and support achievement of process KPIs.
• Conduct root cause analysis (RCA) for recurring quality issues and recommend corrective actions.
• Participate in calibration sessions with operations and training teams.
• Ensure compliance with HIPAA regulations, payer guidelines, and client requirements.
• Support process improvement initiatives and continuous quality enhancement programs.
• Maintain audit records and documentation accurately.
• Collaborate with team leaders and managers to improve process performance and customer satisfaction.

Required Skills & Qualifications

• Bachelor's degree in any discipline.
• 1-4 years of experience in Healthcare RCM Quality or RCM Operations.
• Strong understanding of Medical Billing, AR Calling, Payment Posting, Charge Entry, or Prior Authorization processes.
• Good analytical and problem-solving skills.
• Proficiency in MS Excel and reporting.
• Excellent communication and documentation skills.
• Knowledge of HIPAA compliance and healthcare regulations is preferred.