Senior Analyst- Quality

What you will do:

• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
• Very good understanding of RCM metrics like Ageing above 90 days, Collections, and bad debt
• Periodically monitor teams performance and recommend performance improvement plans wherever required.
• Hands on in preparing daily, weekly monthly operational metrics reports from the Practice.
• Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues.
• Ensure projects are delivered on time with accuracy.
• Identify and resolve queries/issues that result in delay of payment.
• Excellent time-management and self-governance skills
• Provide constructive feedback, given on a consistent basis with the aim of improving the quality of work done.
• Help in auditing transactions in different domains like Charge entry, Payment entry and denial handling and provide inputs on client related issues, along with valuable suggestions to improve processes or client profile instructions.

What you will bring:

• Good understanding of Revenue Cycle Management (US Medical Billing) Provider/Hospital
• 2+ years of experience as an AR caller and at least 1 year of experience as Quality Analyst in US healthcare.
• Should identify and propose training needs based on the auditing.
• Ability to handle multiple tasks of reporting simultaneously.
• Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities.
• Graduate in any stream from recognized university
• Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.

What we would like to see:

• Ability to plan & prioritize work.
• Demonstrated ability in achieving targets.
• Good working knowledge of Microsoft Office.
• Good problem solving & decision-making skills.
• Must be self-motivated and detail oriented.
• Six Sigma and quality tools knowledge is an added advantage.