Quality Compliance Associate
2 weeks ago
Position Responsibilities
- Problem identification and analysis:
- Helps in identify problems and suggest practical and effective solutions for client related issues.
- Incorporate feedback into the training loop, with the aim of closing the gaps between the theory and practice,
- Provide effective and efficient solutions by doing concentrated and focused defect analysis and help in improving the overall health of the client/specialty.
- Constructive feedback on the errors committed:
- Ensure constructive feedback, given on consistent basis with the aim of improving the quality of work done.
- Help in auditing transaction in different domains like Charge entry, Payment entry and denial handling and provide inputs on client related issues, along with valuable suggestions to improve processes or client profile instructions.
- Co-ordination with the teams in Client services (Noida and NY) to achieve this goal.
- Addressing client complaints by suggesting and helping implement effective solutions.
- Should impart one on one and group feedbacks to team members.
- Reporting, Projects & Other Deliverables:
- Proficiency in MS Word and Excel.
- Report the Quality metrics and data, for client and associate’s performance on a regular basis.
- Identify denial trends with specific insurances based on ANSI and give feedbacks.
- Report findings from the follow up / denial handling Quality check to the Team lead to identify denial trends and their resolution for better collections.
- Ensure projects are delivered on-time with accuracy.
- Excellent time-management and self-governance skills
- Team development:
- Ensure that the team functions at the optimum levels of quality.
- Ensure that team is updated with latest insurance related and process related updates.
- Ensure that team follows the process instructions.
- Act as a Subject matter expert to the team members.
- Should identify and propose training need based on the auditing.
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