Medical Billing Quality Leader

7 hours ago

Thrissur, Kerala, India beBeeQuality Full time ₹ 15,00,000 - ₹ 25,14,000

Job Opportunity

Quality Assurance Manager Role

A Quality Assurance Manager is required to lead quality assurance in medical billing operations. The ideal candidate will ensure process excellence, compliance with payer regulations, and continuous improvement.

Main Responsibilities:
  • Establish and monitor 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.
  • Develop 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 Skills and 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).

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