Job Summary
We are looking for a detail-oriented and analytical Quality Specialist with experience in the US Healthcare RCM industry. The ideal candidate will be responsible for monitoring process quality, identifying improvement opportunities, conducting audits, and ensuring compliance with client and organizational quality standards.
The candidate should possess excellent analytical skills, strong communication abilities, and a solid understanding of US medical billing processes.
Key Responsibilities
- Conduct quality audits of medical billing and revenue cycle processes.
- Monitor accuracy, productivity, and compliance with client guidelines.
- Prepare quality reports, dashboards, and performance analysis.
- Identify recurring errors and recommend corrective and preventive actions.
- Coordinate with Team Leaders and Operations Managers to improve process performance.
- Ensure compliance with HIPAA regulations and client-specific SOPs.
Required Skills
- Strong understanding of the US Healthcare Revenue Cycle Management process.
- Knowledge of Medical Billing, AR Calling, Payment Posting, Charge Entry, Eligibility Verification, and Denial Management.
- Proficiency in Microsoft Excel and reporting.
- Knowledge of HIPAA compliance and healthcare documentation standards.
Qualifications
- Bachelor's degree in any discipline.
- Minimum 2–5 years of experience in US Healthcare RCM.
- At least 1 year of Quality Analyst/Specialist experience preferred.
- Experience in medical billing quality auditing is highly desirable.
Preferred Experience
Experience auditing any of the following processes:
- Medical Billing
- Accounts Receivable (AR)
- Denial Management
Pay: ₹30,000.00 - ₹40,000.00 per month
Benefits:
- Commuter assistance
- Food provided
- Provident Fund
Ability to commute/relocate:
- Sahibzada Ajit Singh Nagar, Mohali, Punjab: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Quality audits: 2 years (Required)
Location:
- Sahibzada Ajit Singh Nagar, Mohali, Punjab (Required)
Work Location: In person
