
Quality Assurance Auditor
2 days ago
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 integrate the expertise of a global workforce of revenue cycle professionals with advanced technologies including sophisticated analytics AI intelligent automation and workflow orchestration.
This achievement reflects our commitment to employee well-being inclusion and diversity.
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.
Role OverviewThe job will involve evaluating web and voice transactions to ensure they are error-free and compliant towards the process sharing feedback with transcribers typed by listening 100% of the patient's feedback surveys.
Auditing for Onshore and BSO teams will do audits as per the weekly-monthly audit plan and conduct team member performance reviews 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 plans 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.Essential Competencies
- 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
- 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 expert in EPIC Host
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