01 Oct
|
ECLAT Health Solutions
|
Hyderabad
01 Oct
ECLAT Health Solutions
Hyderabad
Job Title: Assistant Manager / Manager – AR Quality (Accounts Receivable – RCM)
Location: Hyderabad
Industry: Healthcare / US Healthcare RCM
Experience: 8–12+ Years
Employment Type: Full-Time
Job Summary
We are looking for an experienced AR Quality Assistant Manager / Manager to lead quality assurance initiatives across US Healthcare Revenue Cycle Management (RCM). The role involves driving quality performance, improving AR calling accuracy, reducing errors, ensuring process compliance, and leading a team of quality analysts.
Key Responsibilities
- Lead and manage the AR Quality team for US Healthcare RCM operations.
- Monitor and evaluate AR calling, denial management, and account follow-up processes.
- Conduct quality audits, identify process gaps, and implement corrective and preventive actions.
- Drive quality improvement initiatives to enhance accuracy, productivity, and compliance.
- Analyze quality metrics, audit scores, error trends, and process performance.
- Conduct calibration sessions with Operations, Training, and Quality teams.
- Develop quality dashboards, reports, and performance review presentations.
- Ensure adherence to client SLAs, quality standards, and process guidelines.
- Coach and mentor Quality Analysts and Team Leads to improve performance.
- Collaborate with Operations and Training teams to drive continuous improvement.
Required Skills & Qualifications
- 8–12+ years of experience in US Healthcare RCM.
- Robust experience in AR Quality Assurance / Quality Audits / Denial Management.
- Minimum 2–3 years of experience in Quality leadership or team management.
- Strong knowledge of Physician Billing and/or Hospital Billing.
- Expertise in quality metrics, audit methodologies, RCA, CAPA, and process improvement.
- Excellent analytical, communication, stakeholder management, and leadership skills.
- Proficiency in MS Excel, reporting, and quality dashboards.
Preferred Experience
- Experience managing quality teams in a high-volume US Healthcare RCM environment.
- Knowledge of CMS-1500, UB-04, insurance follow-up, denials, and payer guidelines.
- Experience in client audits, quality calibration, and process transitions.
Key Performance Indicators (KPIs)
- Quality Audit Score
- Error Rate and Accuracy
- Process Compliance
- Root Cause Analysis and CAPA Effectiveness
- Quality Improvement and Client SLA Adherence
📌 AR Quality Asst Manager / AR Quality Manager - Hyderabad
🏢 ECLAT Health Solutions
📍 Hyderabad