Quality Assurance Specialist

17 hours ago

Gurgaon, Haryana, India beBeeQualityAssurance Full time ₹ 8,00,000 - ₹ 12,00,000
Job Title: Quality Assurance Specialist - Accounts Receivable

The position is responsible for auditing and evaluating the accuracy and effectiveness of AR functions, including claim follow-ups, denial resolution, and collections. The successful candidate will have strong analytical skills, with the ability to identify quality gaps and provide actionable feedback to AR executives and team leads.

Key Responsibilities:
- Audit AR-related activities, such as insurance follow-ups, aging buckets, denial handling, and collections
- Review claim resolution workflows to ensure adherence to client-specific guidelines and compliance standards
- Identify quality gaps and provide actionable feedback to AR executives and team leads
- Track error trends, perform root cause analysis, and suggest corrective measures
- Maintain detailed documentation of audit results and participate in calibration sessions

Required Skills and Qualifications:
- Bachelor's degree in Commerce, Business, or related field
- 1-2 years of experience as a Quality Analyst in US healthcare RCM, specifically in AR follow-up
- Strong knowledge of denial types, AR workflows, payer communication, and appeals process
- Hands-on experience with tools like Cerner, Athena, Epic, AdvancedMD, or similar billing platforms
- Proficiency in Excel and audit tracking templates
- Strong analytical, documentation, and communication skills
- Knowledge of HIPAA guidelines and RCM compliance standards
- Lean Six Sigma Yellow Belt certification is a plus

Why Join Our Team?
We offer a supportive and collaborative culture, with a focus on quality, precision, and real healthcare impact. As a member of our team, you will have access to complimentary medical coverage for your family, retirement savings and insurance benefits, transparent performance reviews and growth support, employee rewards through the Pixel Workplace Recognition Program, and work-life balance opportunities.

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