Quality Assurance Specialist

5 days ago


Hyderabad, Telangana, India IKS Health Full time
Job Title: Quality Expert

We are seeking a highly skilled Quality Expert to join our team at IKS Health. As a Quality Expert, you will be responsible for ensuring the highest level of quality in our RCM processes.

Key Responsibilities:
  • Minimum Years of Experience: A minimum of years of experience in the RCM domain in the US Health industry, preferably in a Quality Auditor/Expert capacity in Accounts Receivables.
  • Expertise in Medical Billing: Expertise in medical billing end-to-end RCM, including strong knowledge of various denials and remark codes.
  • Error Analysis and Resolution: Ability to analyze RCM process errors, audit error corrections, and quantify error rates and trends.
  • Training and Development: Analyze errors to build training materials and tests, and create automation solutions to reduce error rates.
  • Quality Monitoring and Feedback: Responsible for call/data quality monitoring, providing feedback to agents, and mentoring and coaching agents on process-level issues.
  • Compliance and Reporting: Monitor adherence to compliance procedures and processes, and report program-level quality scores to process owners.
  • Calibration and Performance Review: Conduct calibration and performance review calls with clients and the internal team.
  • Root Cause Analysis: Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team.
  • Quality Improvement: Identify and highlight potential risk areas, recommend preventive action, and maintain a robust monitoring system to ensure key program metrics are adhered to.

We offer a dynamic and challenging work environment, and we are committed to providing our employees with the tools and resources they need to succeed.



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