Quality Analyst - Accounts Receivable (RCM - US Healthcare)

Role & responsibilities

• Quality Monitoring: Assess the accuracy and quality of revenue cycle processes, including eligibility verification, billing, coding, claims submission, and payment posting.
• Quality and Process Auditing: Conduct regular audits of RCM production and processes to identify discrepancies, errors, and areas for improvement.
• Data Analysis: Analyze data to identify trends, root causes of errors, and opportunities for process optimization.
• Compliance: Ensure all RCM activities comply with relevant regulations, including HIPAA, ICD-10, and payer-specific guidelines.
• Reporting: Prepare detailed reports on audit findings, quality metrics, and improvement recommendations for management.
• Feedback & Training: Provide constructive feedback to the RCM teams, team members and assist in training initiatives to enhance accuracy and efficiency.
• Continuous Improvement: Collaborate with the RCM team to implement process improvements and standardization efforts.
• Documentation: Maintain accurate and up-to-date documentation of quality assurance activities and audit results.

Experience: Minimum of 1 year of Experience as Quality Analyst on papers.

Website: https://www.aminfoweb.in/

• Know our organization - https://www.aminfoweb.in/

• Know our workspace - https://aminfoweb1.s3.amazonaws.com/1+AMI+Office+workspace+tour_1.mp4

• RNR'2022 - https://www.youtube.com/watch?v=9JMRQBhk3i8

• Exploring the myths surrounding outsourced healthcare management - https://www.youtube.com/watch?v=fwf3jFa2T-A

Interested candidates shared resume on tanvi.kunden@aminfoweb.co.in