Role Description Overview:
The QC is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service and Ensuring that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement

Responsibility Areas:
Participate in client calls and understand the quality requirements both from process perspective and for targets
Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager
Collect data on individual transactions (chart, claim, EOBs etc) on the errors
Provide face to face feedback and also send emails with the type of errors etc. on daily basis
Coach employees to minimize errors and improve performance
Provide inputs to the training team on common mistakes made to enhance training curriculum




Test files/batches for recent clients/processes to be processed as part of familiarization
Generation of QA reports on a daily basis
Attainment of Internal & External SLA as per Process Defined.
Strict adherence to the company policies and procedures.
Extensive Quality experience Audits, Coaching & training as per process defined.
Min of 1.5 Yrs of Skilled and Relevant Experience
Sound knowledge in Healthcare concept.
Excellent Communication skills Verbal & Non Verbal
Critical problem solving and issue resolution
Must have Good Product and Process Knowledge
Must have positive analytical and judgmental skills
Quality Feedback/Refresher sessions
Prepare and Maintain Quality status reports

📌 Quality Control Analyst Hyderabad (India)
🏢 Omega Healthcare Management Services
📍 India