Quality Analyst AR

3 days ago


Chennai, Tamil Nadu, India Guidehouse Full time ₹ 12,00,000 - ₹ 36,00,000 per year
Job Description

Job Family:

EBO Accounts Receivable (India)

Travel Required:

None

Clearance Required:

None

What You Will Do:
  • Plans, monitors, directs and evaluates QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Associates Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay QA, implements measures/schedules to return to established schedules at the earliest possible time. This should be done closely with each quality specialist to ensure the needs are met and that satisfy our client requirements.
  • Responsible for ensuring that the QA communicates a valid, workable schedule for his or her client each week. Accurate, sensible & on-time.
  • If this doesnt happen properly, its the responsibility of the Lead Specialist to make it happen promptly.
  • Review medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 and latest Associates conventions. Sequence the diagnosis and procedures using Associates guidelines. When applicable, ensure MS-DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal/complaint reimbursement for hospital and/or professional charges. This involves reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for Associates purposes.
  • Answers queries from the quality staff on a day to day basis and escalating to the Director of Associates as necessary.
  • Meets agreed sampling targets and accuracy.
  • Keeps abreast of Associates guidelines and reimbursement reporting requirements.
  • Documents QA data on teams of QA/Associates and records findings in the QA system (RevAudit), which will be for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization. This also involves guidance and mentorship of Associates.
  • Helps to ensure that continuing education is planned, scheduled and completed for all Associates/QA teams through the coordination. Coordinates scheduled quality meetings with the QA and production staff.
  • Brings identified concerns to Navigant Associates compliance management for discussion.
  • Project Launch - Active involvement in project launch sessions along with team leaders to understand the Associates process.
  • Have a rotational arrangement and is flexible to work with any given team as assigned.
  • Abides by the Standards of Ethical Associates as set forth by the American Health Information Management Association and adheres to official Associates guidelines.
  • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply ICD-9-CM and CPT-4 Associates guidelines to inpatient and outpatient diagnoses and procedures.
  • Assist with research and development and presentation of continuing education programs on areas of specialization.
  • Assist with special projects as required. Example: Focused audits; client launches, etc.

Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities.

What You Will Need:
  • Graduates in any discipline
  • 1 3 Years experience
    • Individual should have ability to provide solutions commensurate with the clients needs within the ambit of the given environment so as to lead to business results.
    • Meet the defined Quality Scores as defined by the process.
    • To consistently meet or exceed CSAT parameters as defined for the process.
What Would Be Nice To Have: What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Locations - GH Office: Chennai, India



  • Chennai, Tamil Nadu, India Global Healthcare Billing Partners Full time ₹ 3,70,000 - ₹ 3,80,000 per year

    Dear Candidate,Greetings from Global HealthcareDesignation : Quality AnalystWork Location : Velachery ,ChennaiLooking for Candidates with AR calling and AR analyst exposureRCM/Denial Management/Hospital or Physician Billing would be preferred with minimum 3.5 to 5 Years of experienceImmediate joiners would be preferredGraduation is mandatoryShift-...

  • AR Analyst

    5 days ago


    Chennai, Tamil Nadu, India Starlink Healthcare Administration Full time ₹ 18,00,000 - ₹ 36,00,000 per year

    Job Title: AR Analyst – US Medical BillingLocation: Chennai (Work From Office)Shift: Day Shift (IST)Experience: 2–5 years as an AR Analyst in US Medical BillingAbout the Role:We are seeking an experienced AR Analyst to join our dynamic team in Chennai. As part of our Revenue Cycle Management (RCM) Operations, you will play a key role in supporting...

  • AR analyst

    20 hours ago


    Chennai, Tamil Nadu, India T3Cogno Full time

    WE'RE HIRING – AR Analyst (Immediate Joiner Preferred) Company: Reputed Company Location: Perungudi, Chennai Shift: Day Shift Salary: Up to ₹30,000 per month Experience: Minimum 2 Years Role Overview:We are seeking a skilled AR Analyst with strong experience in Accounts Receivable operations, billing, collections, and reconciliation. The ideal candidate...


  • Chennai, Tamil Nadu, India Allzone Management Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Designation: AR Analyst/Senior AR AnalystDepartment: Medical Billing (Semi-Voice Process)Location: Chennai – Work from OfficeEducational Qualification: Diploma/Graduate.Experience: 1 Year to 4 YearsShift: Night Shift (No Cab facility)Salary: Based on the experienceSkill Set:1-2 years of hands-on experience in working payments, denial management,...

  • AR Analyst

    2 weeks ago


    Chennai, Tamil Nadu, India AI Medcon (opc) Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    AR Analyst(Dayshift) Male Candidate only can apply1 to 2 years experienceGood knowledge in Denials, appeals, rejection/claims, correspondenceKnowledge in RCM & AR fundamentals For more details contact Darshini HR


  • Chennai, Tamil Nadu, India Q Way Technologies Full time

    Job Summary:We are hiring a Quality Analyst with proven experience in AR (Accounts Receivable) within the US Healthcare RCM domain. The ideal candidate will be responsible for monitoring, evaluating, and enhancing the quality of AR Calling operations.Only candidates with relevant experience in AR RCM will be considered. Freshers and candidates from non-RCM...


  • Chennai, Tamil Nadu, India Nsight Solutions Full time ₹ 80,000 - ₹ 1,20,000 per year

    We are looking for AR Caller Cum Analysts and Senior AR Caller Cum Analysts with hands-on experience in the US Healthcare Medical Billing process. The role involves handling end-to-end AR calling activities, denial management, and account receivables analysis to ensure timely and accurate resolution of claims.Work Mode: Work From Home (Initially Work from...


  • Chennai, Tamil Nadu, India Global Healthcare Billing Partners Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Greetings from Global Healthcare Billing Partners Hiring AR Analyst-Experienced (US healthcare) @ Global Health care billing partnersExp Required: 6Months - 5Years of exp in AR AnalystJOB LOCATION: Velachery & Vepery-Chennai.Shift- Night shiftJob description:Should have 6 months-5 years Experience in AR Analyst.2.Good Knowledge of RCM and Denial...


  • Chennai, Tamil Nadu, India Global Healthcare Billing Partners Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    Greetings from Global Healthcare Billing Partners Pvt. Ltd.We are currently hiring for AR Callers and AR Analyst with minimum 1 Year of experience into DME Process.Job Title: AR Caller and AR AnalystExperience: 1 Year to 5 YearsWork Mode: WFOLocation: VeperyNotice Period: Immediate JoinersShift: NightKey Responsibilities:Desired Candidates should have strong...


  • Chennai, Tamil Nadu, India Savista Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Title: AR Analyst Night ShiftLocation: Chennai(Sholinganallur)Experience: 1-2 yearsIndustry: US Healthcare / Medical BillingJob Summary:We are looking for a detail-oriented AR Analyst to join our night shift team. The ideal candidate will have strong expertise in EOB interpretation, denial management, and US healthcare revenue cycle. You will be...