Quality Analyst

1 day ago

Hyderabad, Telangana, India Elico Healthcare Services Ltd Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Company Description

Elico Healthcare Services Ltd. is a trusted and renowned healthcare partner offering holistic tailor-made RCM solutions to hospitals, physician groups, EMS providers, and credentialing & contracting agencies. Promoted by Elico Ltd., a leader in laboratory analytical instruments with a proven track record of over six decades, we have been providing excellent quality deliverables since 1999. Our value-based strategies and integrated analytics enhance patient care and improve financial parameters with transparent reporting. We operate through strategic business units in Hyderabad, Chennai, and Mysore, with a team of over 850 professionals focused on satisfying customer requirements.

Role Description

This is a full-time on-site role for an AR Calling - Quality Analyst, located in Hyderabad. The Quality Analyst will be responsible for monitoring AR calling activities, ensuring adherence to quality standards, and identifying improvement areas. Daily tasks include conducting quality audits, preparing audit reports, providing feedback, and coordinating with AR callers to improve performance. The role also involves trend analysis, training, and ensuring compliance with all relevant guidelines and regulations.

Qualifications :

We are seeking a detail-oriented and analytical Quality Analyst to monitor and evaluate the performance of the AR team involved in medical claims follow-up and denial resolution. The QA will ensure compliance with payer policies, improve process quality, and drive continuous improvements in collections and customer satisfaction.

Responsibilities :

· Audit AR processes including claim status, denial resolution, and payment posting.

· Identify performance gaps and provide feedback to AR agents.

· Track quality metrics such as accuracy rate, productivity, and FTR (First Time Right).

· Perform root cause analysis of denials and billing errors.

· Develop and maintain QA reports and dashboards.

· Ensure compliance with HIPAA and other federal regulations.

· Collaborate with training and operations teams for upskilling initiatives.

· Experience in Hospital & Physician Billing

· HIPAA Compliance Training

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