Specialist - Quality-1

Job Description

R1 is a leading provider of technology-driven solutions, dedicated to helping hospitals and health systems optimize their financial systems and enhance patient experiences. We stand out by integrating the expertise of a global workforce of revenue cycle professionals with the industry's most advanced technologies, including sophisticated analytics, AI, intelligent automation, and workflow orchestration.

R1 India is proud to be recognized among the Top 20 of India's Best Companies to Work For 2025 by the Great Place To Work Institute, marking our third consecutive year of climbing the ranks - from Top 50 in 2023 to Top 25 in 2024, and now amongst the Top 20. This achievement is a testament to the exceptional workplace culture we have collectively cultivated and reflects our unwavering commitment to employee well-being, inclusion, and diversity. Our accolades also highlight our excellence in healthcare, support for millennials, women, diversity, and health and wellness. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.

Designation: Quality Analyst

Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedback with transcribes typed by listening 100% of the patient's feedback surveys.

Essential Duties and Responsibilities: Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned.

Certification: N.A.

Skill Set:

Excellent written & verbal communication skills
Strong knowledge of MS Office (MS Excel & Power Point are Mandatory)
Excellent Personal & Interpersonal Skills
Knowledge of Quality Tools Like 5 Why's, Lean & RCA
Good Knowledge of Denial & Follow Up

Prerequisite:

- Thorough understanding of AR Follow Up and Denials management
- Should have overall 3+ years of experience in RCM Follow up
- Should have analytical skills & exhibit clear thinking/reasoning
- Should be able to comprehend & well-articulated to present his/her thought process well
- Should be expertise/worked in EPIC Host

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:

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