Quality Analyst

Experience: 5+ Years Individual Contributor

Location: India - Remote

Skills: US Healthcare RCM, Provider claim life cycle, major insurance payers, common denials, standard practices of RCM, common acronyms and nomenclature in US Healthcare, CPT codes, transaction codes, reason codes

Duties and Responsibilities
Review teams’ production for errors and inaccuracies.
Document and publish quality scores.
Council and mentor team members to improve their quality scores.
Create cheat sheets and reference guides to assist teams in improving quality.
Be able to move seamlessly into the AR Analyst role temporarily if the need arises.
Identify and report common trends in teams’ production, denials and any global issues.
Maintain production and quality standards declared by the organization.





Requirements
• 5+ Years of experience in US Healthcare RCM in posting transactions and AR Follow-up.
• Should have a thorough understanding of Provider claim life cycle.
• Must have thorough knowledge of major insurance payers.
• Must have thorough knowledge of common denials.
• Must know standard practices of RCM.
• Must have understanding of common acronyms and nomenclature in US Healthcare.
• Should have excellent written and communication skills in English. Valuable grammar is a must.
• Must have fair knowledge of common CPT codes, transaction codes and reason codes.

📌 Quality Analyst (Mumbai)
🏢 Trubridge Healthcare
📍 Mumbai