
Senior Quality Assurance Lead
1 day ago
Job Title: Senior Quality Assurance Lead
Job Summary:
We are seeking a seasoned Senior Quality Assurance Lead to drive quality assurance excellence in our medical billing operations.
Key Responsibilities:
- Develop and implement quality standards across Medical Billing, AR follow-up, and denial management.
- Conduct regular audits, reviews, and root cause analyses to identify gaps and implement corrective actions.
- Collaborate with operations, training, and compliance teams to drive process improvements.
- Establish and track quality metrics (accuracy, compliance scores, productivity impact, SLA adherence).
- Provide feedback, coaching, and training to team members to enhance performance.
- Ensure adherence to HIPAA guidelines, payer policies, and regulatory requirements.
- Partner with clients and leadership to present quality performance reports and improvement plans.
Required Qualifications:
- 8-12 years of experience in RCM/medical billing quality function.
- Strong understanding of quality frameworks, audit methodologies, and US healthcare regulations.
- Proven track record in driving quality initiatives and achieving measurable improvements.
- Excellent communication, analytical, and stakeholder management skills.
- Experience in Six Sigma/Lean methodologies is a plus.
- Experience in handling quality analyst team (Medical Billing).
What We Offer:
- A dynamic work environment that fosters growth and development.
- The opportunity to work with a talented team dedicated to delivering exceptional results.
- A competitive compensation package that rewards performance and dedication.
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