Auditor AR Role

3 days ago


Gurgaon, Haryana, India beBeeAccount Full time ₹ 6,00,000 - ₹ 10,00,000

Quality Assurance Specialist AR

At our organization, we are seeking a detail-oriented quality assurance specialist with AR (accounts receivable) expertise to join our revenue cycle management team.

This role focuses on auditing and evaluating the accuracy and effectiveness of AR functions including claim follow-ups, denial resolution, and collections.

As a quality assurance specialist, your insights will directly support the operations team in maintaining process integrity and achieving key performance indicators (KPIs).

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
  • Collaborate with the quality team to ensure consistency in audit methodology
  • Prepare and share quality reports with internal stakeholders on a regular basis
  • Stay updated on US payer rules, coding norms, and RCM industry practices

Requirements & 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

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