20 Aug
|
AGS Health
|
Hyderabad
20 Aug
AGS Health
Hyderabad
Job DescriptionAbout AGS Health
nAGS Health is a leading strategic growth partner to healthcare providers across the U.S. Working alongside each client as one team, we improve revenue cycle performance by orchestrating data, AI, automation, and human expertise across every workflow. Our proven model complements customers' existing teams, technology, and processes, deploying the right capabilities to improve efficiency, strengthen financial performance, and enhance the patient financial experience. Supported by a global team of more than 16,000 clinical and revenue cycle experts across onshore, nearshore, and offshore locations, AGS Health helps customers achieve measurable results across diverse care settings and specialties.
nRESPONSIBILITIES
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- Lead and drive overall quality strategy across end-to-end RCM functionsn
- Define and implement quality frameworks, SOPs, and audit mechanisms aligned with client and regulatory standardsn
- Ensure compliance with CMS, HIPAA, provider guidelines, and industry regulationsn
- Establish robust governance models, KPIs,
and quality scorecards for performance trackingn
- Drive continuous quality improvement initiatives using RCA, Six Sigma, and Lean methodologiesn
- Identify trends in denials, errors, and audit failures and implement corrective actionsn
- Manage internal & external audits, ensuring audit readiness and compliance adherencen
- Partner with operations teams to reduce rework, improve accuracy, and enhance first-pass yieldn
- Lead client quality reviews (QBRs) and act as the point of contact for quality-related escalationsn
- Ensure client SLA adherence, service excellence, and long-term retentionn
- Build and manage high-performing QA teams, including hiring, training, and capability developmentn
- Drive a culture of quality ownership, accountability, and continuous improvementn
- Leverage automation, analytics, and AI tools to improve quality monitoring and predictive insightsn
- Work closely w
📌 General Manager Quality (Hyderabad)
🏢 AGS Health
📍 Hyderabad