Job Title
Quality Assurance (QA) Auditor – AR Calling
Job Summary
The QA Auditor – AR Calling is responsible for auditing Accounts Receivable (AR) calling processes to ensure compliance with client guidelines, healthcare regulations, and internal quality standards. The role involves reviewing collector calls, identifying process deviations, ensuring accurate documentation, and improving overall collection performance.
Key Responsibilities
- Audit AR calling interactions and account handling processes.
- Evaluate collectors on call quality, compliance, accuracy, and productivity.
- Ensure adherence to client SOPs, HIPAA guidelines, and billing regulations.
- Identify errors in claim follow-up, denial handling, and payment posting processes.
- Prepare audit reports with detailed feedback and improvement areas.
- Conduct calibration sessions with operations and training teams.
- Track quality scores and monitor corrective actions.
- Analyze recurring errors and recommend process improvements.
- Maintain audit records and quality documentation.
- Support refresher training and quality initiatives.
Required Skills
- Strong knowledge of AR calling and medical billing processes
- Understanding of denial management and insurance follow-up
- Knowledge of HIPAA and healthcare compliance standards
- Excellent listening, analytical, and reporting skills
- Attention to detail and problem-solving abilities
- Good communication and feedback management skills
- Proficiency in Excel and QA reporting tools
Qualifications
- Bachelor’s degree preferred
- 2–5 years of experience in AR Calling/Medical Billing QA
- Experience in healthcare RCM processes preferred
QA Analyst – AR Calling
Job DescriptionJob Title
Quality Assurance (QA) Analyst – AR Calling
Job Summary
The QA Analyst – AR Calling is responsible for monitoring and evaluating AR caller performance to ensure quality, compliance, and process efficiency in medical billing operations. The role focuses on call monitoring, error analysis, feedback sharing, and continuous quality improvement.
Key Responsibilities
- Monitor AR calling activities and evaluate collector performance.
- Review calls for communication quality, process adherence, and accuracy.
- Identify gaps in insurance follow-up and denial resolution.
- Prepare QA scorecards and performance reports.
- Provide feedback and coaching to AR callers.
- Ensure compliance with client requirements and healthcare regulations.
- Participate in calibration meetings and process improvement activities.
- Track trends in quality scores and operational errors.
- Assist in root cause analysis for escalations and denials.
- Maintain quality records and documentation.
Required Skills
- Knowledge of AR calling and medical billing workflows
- Familiarity with denial management and insurance terminology
- Strong analytical and auditing skills
- Good verbal and written communication
- Attention to detail and multitasking ability
- Knowledge of QA metrics and reporting
- Basic to advanced Excel skills
Qualifications
- Graduate in any discipline
- 1–4 years of experience in AR Calling QA/Medical Billing
- Experience in US Healthcare RCM preferred
Pay: ₹43,851.74 - ₹101,388.61 per month
Benefits:
- Health insurance
- Life insurance
- Provident Fund
Work Location: In person
