RCM AR Quality Team Lead / SR Team Lead - Hyderabad

ECLAT Health Solutions; Hyderabad; On-site; INR 1,800,000 - 2,400,000; Full time

Job summary

ECLAT Health Solutions in Hyderabad is seeking an experienced RCM AR Quality Team Lead to guide the QA team and oversee daily quality operations.

The role focuses on audits across AR, denials, medical billing, and related processes, with emphasis on RCA, CAPA, calibration, and maintaining HIPAA compliance.

Qualifications

• 8+ years of experience in US Healthcare RCM/Medical Billing.
• 1–2+ years in Quality Team Lead / QA Lead / Quality Supervisor role.
• Strong knowledge of Quality Audits, RCA, CAPA, Calibration and RCM processes.
• Excellent communication, analytical and team-management skills.

Responsibilities

• Lead the RCM Quality/QA team and manage daily quality operations.
• Conduct audits across AR, Denials, Medical Billing, Payment Posting, Charge Entry, Prior Auth/EVBV, etc.
• Monitor Quality, Accuracy, SLA/KPI and Error Rates.
• Perform RCA, CAPA and process improvement activities.
• Conduct quality calibration sessions with Operations and Training teams.
• Prepare Quality MIS and performance reports.
• Coach QA Analysts and drive quality improvement.
• Handle client escalations and ensure HIPAA/compliance adherence.

Skills

US Healthcare RCM

QA Leadership

Quality Audits

Job description

RCM AR Quality Team Lead / SR Team Lead - Hyderabad

8 - 12 Years

Full-Time

Position: RCM Quality Team Leader

Experience: 8–12 Years

Job Description

• Lead the RCM Quality/QA team and manage daily quality operations.
• Conduct audits across AR, Denials, Medical Billing, Payment Posting, Charge Entry, Prior Auth/EVBV, etc.
• Monitor Quality, Accuracy, SLA/KPI and Error Rates.
• Perform RCA, CAPA and process improvement activities.
• Conduct quality calibration sessions with Operations and Training teams.
• Prepare Quality MIS and performance reports.
• Coach QA Analysts and drive quality improvement.
• Handle client escalations and ensure HIPAA/compliance adherence.

Requirements

• 8+ years of experience in US Healthcare RCM/Medical Billing.
• 1–2+ years in Quality Team Lead / QA Lead / Quality Supervisor role.
• Strong knowledge of Quality Audits, RCA, CAPA, Calibration and RCM processes.
• Excellent communication, analytical and team-management skills.