Lead Quality Assurance Expert

6 days ago


Gandhinagar, Gujarat, India beBeequality Full time ₹ 80,00,000 - ₹ 1,50,00,000

Job Opportunity: Lead Quality Assurance Expert

Quality Assurance Manager

Our 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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