Employer description & source details
Lead and manage quality assurance activities for RCM processes including eligibility, charge entry, coding, AR follow-up, payment posting, and denial management. Perform transaction audits and process reviews to ensure adherence to client requirements and internal SOPs. Analyze quality trends, identify recurring errors, and recommend preventive and corrective actions. Prepare and present quality dashboards, scorecards, reports, and improvement plans to management. Conduct calibration sessions with operations teams and stakeholders. Provide coaching, feedback, and quality training to team members and process associates. Drive continuous improvement initiatives and support process excellence projects. Ensure compliance with HIPAA, client-specific requirements, and organizational policies. Collaborate with Operations, Training, and Leadership teams to improve overall performance and customer satisfaction. Mentor quality analysts and support career development activities. 5-8 years of experience in healthcare RCM/BPO operations with at least 2 years in Quality leadership. Strong understanding of quality tools, root cause analysis, and performance improvement methodologies. Excellent analytical, communication, and stakeholder management skills. Advanced knowledge of MS Excel, PowerPoint, and quality reporting. Experience in managing client-facing quality reviews is preferred. Analytical thinking and problem solving
Extracted skills: excel, operations