Senior Medical Billing Quality Specialist

5 hours ago


Belgaum, Karnataka, India beBeeCompliance Full time ₹ 18,00,000 - ₹ 21,00,000
Quality Assurance Manager Position

Our organization is seeking a skilled Quality Assurance Manager to oversee medical billing operations and ensure process excellence. The ideal candidate will have experience in quality frameworks, audit methodologies, and US healthcare regulations.

Key Responsibilities:

  • 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.

Required Skills and Qualifications:

  • 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.
  • Experience in Six Sigma/Lean methodologies is a plus.
  • Experience in handling quality analyst team (Medical Billing).

Benefits:

The successful candidate will have opportunities for professional growth and development in a dynamic organization.

Our Organization: We are a leading provider of revenue cycle management solutions in the healthcare industry.



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