Performs transaction-level audits across RCM functions to ensure quality, compliance, and process accuracy.
Responsibilities
- Conduct QA reviews of assigned transactions such as billing, AR follow-up, or payment posting.
- Document audit findings and share feedback with team leads and associates.
- Collaborate with QA leadership to refine audit checklists and sampling methods.
- Support calibration sessions and continuous process improvement efforts.
- Maintain audit records for compliance and reporting purposes.
- Assist in developing corrective action plans for recurring errors.
Qualifications
- High School Diploma or GED.
- At least two to four (2-4) years of medical billing and claims resolution experience preferred
- AAHAM and/or HFMA certification preferred
- Experience with offshore engagement and collaboration desired
📌 Quality Assurance Specialist (Chennai)
🏢 Ventra Health
📍 Chennai
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