Quality Auditor

2 days ago

Noida, Uttar Pradesh, India HOM Full time ₹ 6,00,000 - ₹ 12,00,000 per year
Job Title: Quality Analyst – AR Location: Noida, Sector 136 Experience Required: 4–6 Years Employment Type: Full-Time Department: AR About the Role: We are seeking a detail-oriented and process-driven Quality Analyst (QA) to join our AR team. The QA will be responsible for evaluating the quality of AR follow-up processes, identifying gaps, and supporting continuous improvement efforts. This role ensures accuracy, compliance, and process integrity across the AR operations, contributing directly to the revenue and performance of the organization.
Key Responsibilities:
• Conduct regular audits of AR calling processes, including denial management, follow-ups, and resolution activities.
• Evaluate team member performance through call audits, documentation review, and system checks.
• Identify trends in errors and non-compliance, and prepare detailed quality reports with actionable insights.
• Work closely with AR Team Leads, Managers, and Training teams to implement corrective and preventive measures.
• Monitor quality metrics such as accuracy rate, call quality score, and adherence to client-specific guidelines.
• Ensure adherence to HIPAA and other regulatory standards in documentation and communication.
• Support process improvement initiatives and SOP enhancements based on audit outcomes.
• Conduct refresher training sessions based on audit findings and process updates.
• Provide timely feedback to team members on quality performance and coaching needs.
Skills & Qualifications:
• 4–6 years of experience in AR follow up with at least 1–2 years in a QA role within US Healthcare / RCM domain.
• Strong knowledge of AR workflows, payer-specific guidelines, and denial management processes.
• Familiarity with denial codes (CO, PR, OA, PI) and follow-up procedures.
• Proficient in working with AR tools, billing systems, and MS Excel/Word.
• Strong analytical skills and attention to detail.
• Hands-on experience with AR/RCM software such as Epic, eClinicalWorks (ECW), and Change Healthcare.
• Excellent communication skills – both written and verbal.
• Ability to manage multiple audits simultaneously and work under tight deadlines.
• High level of integrity and a quality-first mindset.
Preferred Qualifications:
• Certified in any RCM/Quality-related program (e.g., Six Sigma Yellow/Green Belt) is a plus.
• Experience in mentoring or coaching AR callers is an advantage

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