Healthcare RCM

1 week ago


Hyderabad, Telangana, India 2coms Full time
Job Description
Healthcare RCM Quality Analyst

Location: Hyderabad

Experience: 1+ years

We are looking for a Healthcare RCM Quality Analyst to join our global IT MNCG team. The ideal candidate should have at least 1+ years of experience working as a Quality Controller for AR with medical billing service providers, and 4 to 6 years of experience in AR Calling/AR Analyst. The candidate should possess a strong understanding of medical billing processes and demonstrate confidence in process knowledge. Adapting to new situations and challenges, excellent communication, and typing skills are essential for this role. The candidate should also adhere to all company policies and procedures.

Responsibilities:
  • Review the work performed by AR Analysts/Callers and document any quality issues
  • Evaluate call quality on various parameters such as conversational skills, claims resolution, and voice quality
  • Contribute to the development of process documentation
  • Assist in maintaining the Quality Management System for ISO
  • Provide feedback and collaborate with the training team to deliver remedial training
  • Verify the reports developed by AR Analyst/AR Callers, including aging analysis, understanding days in A/R, top reasons for denials, etc
  • Adhere to MBW's information security guidelines
  • Uphold ethical behavior and actively participate in maintaining ethical standards

Requirements Requirements:
  • 1+ years of experience in a similar role
  • Experience in AR Calling/AR Analyst for 4 to 6 years
  • Strong knowledge of medical billing processes
  • Excellent communication and typing skills
  • Ability to adapt to new situations and challenges
  • Adherence to company policies and procedures


Requirements
Should have worked as a Quality Controller for AR for at least 1+ years with medical billing service providers Should have at least 4 to 6 years of experience in AR Calling / AR Analyst. Should have very good knowledge in medical billing and confident in process knowledge Experience in the end to end Healthcare process/ AR calling audit. Adapting to new situations & challenges whenever required Good communication & typing skills Adhere to all company policies and procedures
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