
Medical Billing Quality Professional
2 days ago
Quality Assurance Director
We are seeking an experienced quality assurance professional to lead quality initiatives in our medical billing operations. The ideal candidate will ensure process excellence, compliance with payer regulations, and continuous improvement across revenue cycle management functions.
Key Responsibilities:
- Establish and monitor quality standards across medical billing, accounts receivable 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, service level agreement adherence).
- Provide feedback, coaching, and training to team members to enhance performance.
- Ensure adherence to Health Insurance Portability and Accountability Act guidelines, payer policies, and regulatory requirements.
- Partner with stakeholders to present quality performance reports and improvement plans.
Desired Profile:
- 8–12 years of experience in revenue cycle management or 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 or Lean methodologies is a plus.
- Experience in leading quality analyst teams (medical billing).
About the Role
This is a unique opportunity to join our organization and make a meaningful impact on our medical billing operations. As a Quality Assurance Director, you will play a critical role in ensuring that our processes meet the highest standards of quality and compliance.
What We Offer
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and results-driven individual who is passionate about quality and compliance, we encourage you to apply for this exciting opportunity.
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