rcm quality analyst

3+ years of hands-on experience in core Provider RCM Overall experience includes a minimum of 1 year or more as SME, Asst. Team Lead, Team Lead , QA, QA Lead, etc. Strong understanding of RCM Processes and best practices Proven expertise in the AR follow up functions in multispeciality setup Knowledge of other related RCM functions is a must Advanced excel...

Your Role Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze...

Job Description: Responsibilities: • Investigate and resolve complex AR and denial-related issues. • Analyze denial trends and identify process improvement opportunities. • Initiate and lead payer calls for escalated denial inquiries and disputes. • Develop strategies to reduce Aging and Denial rates and improve reimbursements. • Collaborate with...

We are seeking a dedicated Quality Analyst to join our team in Haryana or Uttar Pradesh. The ideal candidate will have a strong understanding of quality assurance processes and will be responsible for ensuring that our services meet the highest standards of quality. As a Quality Analyst, you will play a crucial role in evaluating and improving our...

Job Family:GIC Process (India)Travel Required:NoneClearance Required:NoneWhat You Will Do:Perform end-to-end Quality Assurance (QA) on AML investigations reviews across Retail Banking and Crypto domainsAssess analyst decisions on customer risk profiling, transaction analysis, sanctions screening, and suspicious activity identificationConduct deep-dive QC...

Job Summary Quality planning  : Recommend, implement and monitor preventative and corrective actions to reduce the error count and improve the teams overall quality score Quality audits  : Perform audits to ensure quality of information entered in the database is free from error Quality review  : Based upon performance, identify team members and conduct...

Your Role Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze...

Job Role Profile: Quality Agent – Energy Process Role Purpose The Quality Agent is responsible for reviewing customer interactions and back-office transactions to ensure accuracy, compliance, and customer experience excellence within the Energy process. The role focuses on identifying errors, maintaining audit accuracy, and supporting performance...

We are looking for an innovative and experienced quality analyst to join our team. The quality analyst is responsible for developing and supporting the planning, design, and execution of test plans, test scripts, and process plans for projects. The successful candidate will work closely with various departments to perform and validate test cases based on...

Monitor and evaluate inbound and outbound customer calls to ensure adherence to company standards and compliance guidelines. Identify gaps in call handling, process adherence, and customer service delivery to improve overall quality. Provide structured and constructive feedback to agents to enhance performance and service levels. Generate detailed quality...

Key Responsibilities: Quality Control Procedures: Develop and implement quality control processes to ensure that products and services meet the required standards. Data Analysis: Analyze data to identify trends, patterns, and areas for improvement in product quality. Cross-functional Collaboration: Work closely with cross-functional teams, including...

The RPA lead is responsible for the assessment of business requirements, collection and identification of technical specifications, and the subsequent development of technology solutions that require development to be viable. Applying architectural and engineering concepts to design a solution that meets operational requirements, such as scalability,...

Key Responsibilities: Quality Monitoring & Evaluation Audit live and recorded inbound calls to assess customer interactions against quality benchmarks. Evaluate performance based on call handling skills, process adherence, compliance, and customer experience. Coaching & Feedback Deliver timely and actionable feedback to agents through one-on-one...

Key Responsibilities: Quality Monitoring & Evaluation Audit live and recorded inbound calls to assess customer interactions against quality benchmarks. Evaluate performance based on call handling skills, process adherence, compliance, and customer experience. Coaching & Feedback Deliver timely and actionable feedback to agents through one-on-one...

To perform this role successfully, the individual will be responsible for but not limited to the following: Develop test plans based on test strategy. Created and executed test cases based on test strategy and test plans. Reviewed Test assignments and executed test cases as assigned. Written complex SQL queries for querying data against different data bases...

We are seeking a dedicated Quality Analyst to join our team in the Delhi-NCR region. The ideal candidate will play a crucial role in ensuring the quality and efficiency of our services in the travel sales sector, particularly within the international BPO environment. As a Quality Analyst, you will be responsible for monitoring and evaluating the performance...

Job Description:Job DescriptionQualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those...

Every day, tens of millions of people come to Roblox to explore, create, play, learn, and connect with friends in 3D immersive digital experiences– all created by our global community of developers and creators. At Roblox, we’re building the tools and platform that empower our community to bring any experience that they can imagine to life. Our vision...

We're looking for Quality Assurance Analysts! Responsibilities: • Perform Functional Testing, System Integration Testing (SIT), Regression Testing, and User Acceptance Testing (UAT) support activities. • Execute test cycles, document results, and ensure adequate business and functional coverage. • Identify, log, track, and retest defects while...

Key Responsibilities: Test Planning: Develop comprehensive test plans, test cases, and test scripts covering functional, performance, and security testing. Test Execution: Execute test cases, analyze test results, and identify defects or inconsistencies in the product. Defect Management: Document defects, collaborate with developers and product teams to...