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We are Hiring for Service Quality Manager!

Role summary:

The Manager of Remit Tracking (AR) Quality is responsible for overseeing and enhancing the accuracy, compliance, and overall quality of AR operations. This role involves managing a team of AR professionals, ensuring adherence to regulatory standards, and implementing quality assurance processes. The Manager will collaborate with cross-functional teams to optimize best practices, support revenue cycle operations, and mitigate compliance risks.

Education, Experience & Other requirements:

• Must have minimum 12+ years of experience in handling AR Quality in RCM
• Graduation: Any
• Specialization: Accounts Receivable
• Fluent in communication
• Should have GB certification or should have good exposure to quality principles

Key Responsibilities:

1. Quality Assurance and Compliance: Develop and implement RCM quality standards and audit processes to ensure accuracy and compliance. Stay updated on payer policies, and best industry practices. Monitor and enforce compliance with HIPAA, CMS, and other applicable regulations.

2. Team Leadership and Development: Lead and mentor a team of quality analysts, fostering a culture of continuous learning and improvement. Conduct performance evaluations, provide feedback, and design individualized development plans. Coordinate training programs for QAs to enhance proficiency.

3. Operational Excellence: Analyse accuracy rates and error trends and develop action plans to address gaps. Collaborate with cross functional teams to resolve discrepancies and optimize processes. Establish and track key performance indicators (KPIs) related to quality and process improvement.

4. Data Analysis and Reporting: Provide regular reports on quality metrics to leadership, highlighting trends, issues, and recommended improvements. Conduct root cause analysis of errors to identify systemic issues and propose solutions.

5. Process Improvement: Identify opportunities for process improvements to enhance accuracy, reduce denials, and improve claim turnaround times.

Skills:

• Strong understanding of compliance standards, and regulatory requirements.
• Exceptional leadership, communication, and interpersonal skills.
• Proficiency in data analytics tools.
• An analytical mindset with the ability to interpret complex data and drive actionable insights.

Key Competencies:

• Attention to detail and commitment to high-quality standards.
• Problem-solving and critical thinking abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Collaborative and proactive approach to cross-functional team interactions.

Interested candidates with the above mentioned experience, please share your updated resume to jerlinbetsy.m@accesshealthcare.com