Remote Medical Billing Quality Analyst Position

1 week ago

Thāne, Maharashtra, India beBeeQuality Full time ₹ 45,00,000 - ₹ 85,00,000
Job Description

Medical Billing Quality Auditor - REMOTE Opportunity

The Medical Billing Quality Auditor plays a pivotal role in ensuring the accuracy, compliance, and efficiency of the revenue cycle process by reviewing claims, payments, denials, and related workflows.

This key position is critical to maintaining high-quality standards for healthcare clients by monitoring billing, coding, AR calling, and credentialing activities, identifying errors, and recommending corrective actions.

Key Responsibilities:

  • Quality Assurance & Audit: Auditing medical billing claims, payment posting, denials management, AR follow-ups, and credentialing tasks against company SOPs and client guidelines.
  • Audit Claims for Accuracy: Reviewing claims for accuracy in patient demographics, insurance details, CPT/ICD coding, modifiers, and charge entry.
  • Monitor Adherence: Monitoring adherence to HIPAA and U.S. healthcare compliance requirements.
  • Conduct Random Audits: Conducting random and targeted audits on AR calling notes, eligibility checks, and credentialing packets.
  • Error Identification & Corrective Action: Identifying trends in errors (e.g., data entry mistakes, coding mismatches, underpayments).
  • Provide Feedback: Providing feedback and detailed audit reports to operations managers and team leads.
  • Suggest Corrective Measures: Suggesting corrective measures, retraining needs, or process improvements.
  • Performance Monitoring: Tracking team KPIs like First Pass Resolution Rate (FPRR), Clean Claim Rate, Denial Rate, and AR Days.
  • Evaluate Compliance: Evaluating compliance with SLAs (turnaround times, accuracy percentages).
  • Collaborate with Client-Side Teams: Collaborating with client-side quality teams to ensure alignment with expectations.

Qualifications & Skills

  • Education: Bachelor's degree (preferably in healthcare, life sciences, or commerce).
  • Experience: 3–5 years' experience in medical billing, coding, running reports or AR calling; minimum of 1–2 years in quality audit.
  • Knowledge & Skills: Strong knowledge of U.S. healthcare revenue cycle (charge entry, payment posting, denials, AR follow-up, credentialing, reporting).
  • Coding Knowledge: Familiarity with CPT, ICD-10, HCPCS codes, and payer-specific guidelines.
  • Technical Skills: Proficiency in MS Excel, quality tracking tools, and EMR/billing software (e.g., DrChronos, AdvancedMD, Simple Practice, Therapy Notes, Athena, Epic).

Benefits & Opportunities

  • Accuracy Rate: Achieving an accuracy rate in audited claims (> 98%).
  • Reduction in Denials: Reducing denials and rework through early detection.
  • Timely Submission: Submitting timely audit reports.
  • Contribution to Team Performance: Contributing to team performance improvement and SLA adherence.

  • Medical Billing

    2 days ago

    Thāne, Maharashtra, India Onesource Atreus Full time

    Hiring for AR Associate Blended Process Thane Location 2 rotational week offs Hsc Graduate with minimum 6 months experience as AR - Medical billing mandatory Salary - 25k in hand based on qualification and or experience Job Type Full-time Pay 9 341 66 - 17 000 00 per month Work Location In person

  • Medical Billing Team Director

    4 days ago

    Thāne, Maharashtra, India beBeeLeadership Full time ₹ 8,60,160 - ₹ 12,98,240

    We are seeking an accomplished Team Director to oversee our RCM operations in the US Healthcare sector.Key Responsibilities:Lead a team of medical billing experts in managing end-to-end RCM activities.Ensure accurate charge entry, claim submission, payment posting, denial management, and AR follow-up.Monitor team performance and guarantee that SLAs, quality,...

  • Medical Billing

    1 day ago

    Thāne, Maharashtra, India Onesource Atreus Full time ₹ 25,000 - ₹ 1,70,000 per year

    Hiring for AR AssociateBlended ProcessThane Location2 rotational week offsHsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory)Salary - 25k in hand (based on qualification and/or experience)Job Type: Full-timePay: ₹9, ₹17,000.00 per monthWork Location: In person

  • Expert Medical Billing Specialist

    1 week ago

    Thāne, Maharashtra, India beBeeMedical Full time ₹ 2,70,000 - ₹ 3,20,000

    Job Description">We are seeking a skilled Medical Billing Specialist to join our team. The ideal candidate will have experience in medical billing and customer support, with a strong background in healthcare.">Required Skills and Qualifications">Minimum 6 months of experience in medical billing or customer supportExperience in domestic or international...

  • Remote Healthcare Administrator

    6 days ago

    Thāne, Maharashtra, India beBeePatientService Full time US$ 44,000 - US$ 66,000

    Remote Patient Service SpecialistAre you a detail-oriented and customer-focused professional with a passion for delivering exceptional patient care? We are seeking a skilled Remote Patient Service Specialist to join our team, providing administrative and patient support for a US-based physical and rehabilitation medicine clinic. This is a full-time, remote...

  • Senior Medical Billing Specialist

    23 hours ago

    Thāne, Maharashtra, India beBeeMedicalBilling Full time ₹ 2,50,000 - ₹ 17,00,000

    Job OverviewThe ideal candidate for this role will possess a strong background in medical billing with at least six months of experience as an AR Associate. A graduate degree in the field is highly desirable.Familiarity with blended processes and rotational shiftsExcellent communication and organizational skillsKey Responsibilities:Medical Claims...

  • Remote Freelance SOC Analyst Wanted

    6 days ago

    Thāne, Maharashtra, India beBeeSecurity Full time ₹ 10,00,000 - ₹ 12,34,567

    Job Title: Freelance SOC AnalystWe are looking for a skilled and experienced Freelance SOC Analyst to join our team on a remote basis. The ideal candidate should have hands-on experience in Security Operations Center (SOC) environments, with strong analytical and problem-solving skills to identify and mitigate threats in real time.We will be working with IBM...

  • Medical Claims Resolved Specialist

    2 days ago

    Thāne, Maharashtra, India beBeeClaims Full time ₹ 6,00,000 - ₹ 8,50,000

    About the RoleHealthcare revenue cycle team is looking for a highly skilled individual to fill the position of Medical Claims Resolved Specialist. As a key member of the team, you will be responsible for making outbound calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.Key...

  • Radiology Medical Coder

    5 days ago

    Thāne, Maharashtra, India beBeeCoding Full time ₹ 8,00,000 - ₹ 12,00,000

    Medical Imaging Coding Specialist PositionWe are seeking detail-oriented and experienced medical imaging coding specialists to fill a critical role at our organization.The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations,...

  • Quality Analyst

    3 weeks ago

    Thāne, Maharashtra, India Gupta Traders Full time

    Strong understanding of call audit call calibration call monitoring call quality and transactional quality concepts Excellent analytical skills with ability to interpret data from MIS reports and other sources Job Type Full-time Pay 30 000 00 - 40 000 00 per month Schedule Day shift Experience Quality Analyst in BPO Real...