Role & responsibilities

- Perform quality audits across RCM functions including AR Follow-up, Denial Management.

Optional: Eligibility Verification, Prior Authorization, Charge Entry, Medical Coding and Payment Posting,

- Evaluate Calls and transactions to process accuracy, compliance, and adherence to client-specific guidelines.

- Provide detailed audit feedback, coaching insights, and corrective action recommendations to operational teams.

- Analyze quality trends, identify root causes of errors, and implement preventive measures.

- Prepare and present quality reports, scorecards, and performance dashboards.

- Conduct calibration sessions with Operations and Training teams to ensure audit consistency.

- Ensure compliance with HIPAA, payer regulations, and organizational policies.





- Support process improvement initiatives and quality enhancement programs.

Preferred candidate profile

- Graduate in any discipline.

- 2+ years of experience in Quality Audit within US Healthcare RCM.

- Solid expertise in AR Follow-up, Denial Management, Medical Billing, Payment Posting, and related RCM processes.

- Experience in quality auditing, root cause analysis, and process improvement.

- Excellent analytical, reporting, and communication skills.

- Advanced proficiency in MS Excel and quality reporting tools.

- Thorough understanding of HIPAA, payer guidelines, and healthcare compliance standards.

📌 Walk-in || Quality Analyst - AR (Chennai)
🏢 ONCOSPARK
📍 Chennai