Senior Quality Assurance Professional

13 hours ago

Cochin, Kerala, India beBeeQualityAssurance Full time ₹ 1,00,00,000 - ₹ 1,50,00,000

Key Position: Quality Assurance Manager

We are seeking a highly skilled and experienced Quality Assurance Manager to lead quality assurance in our medical billing operations. The ideal candidate will ensure process excellence, compliance with payer regulations, and continuous improvement across Revenue Cycle Management functions.

About the Role

  • 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.

Job Description:

  1. Ensuring quality standards across Medical Billing, AR follow-up, and denial management.
  2. Conducting regular audits, reviews, and root cause analyses to identify gaps and implement corrective actions.
  3. Collaborating with operations, training, and compliance teams to drive process improvements.
  4. Developing and tracking quality metrics (accuracy, compliance scores, productivity impact, SLA adherence).
  5. Providing feedback, coaching, and training to team members to enhance performance.
  6. Ensuring adherence to HIPAA guidelines, payer policies, and regulatory requirements.
  7. Partnering with clients and leadership to present quality performance reports and improvement plans.

Requirements

  • 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.

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