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6 days ago
Job Opportunity: Lead Quality Assurance Expert
Quality Assurance ManagerOur organization is seeking an experienced Quality Assurance Manager to lead the quality assurance function in medical billing operations. The ideal candidate will have a strong understanding of quality frameworks, audit methodologies, and US healthcare regulations.
Main Responsibilities:
- Develop and implement 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.
- Design 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.
Requirements:
- 8-12 years of experience in RCM / medical billing quality function.
- 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.
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