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Greetings from Eclat Health !!!

Job Title: Assistant Manager / Manager AR Quality (Accounts Receivable RCM)

Location: Hyderabad

Industry: Healthcare / US Healthcare RCM

Experience: 11 - 16+ Years in End to End RCM for Quality

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

- 11 - 16+ years of experience in US Healthcare RCM.
- Solid experience in AR Quality Assurance / Quality Audits / Denial Management.
- Minimum 23 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

Contact HR - Vinay (WhatsApp - (phone hidden))

Email : [email protected]

Regards

HR Team

Eclat Health Solutions India Pvt Ltd

📌 AR Quality Manager - Hyderabad
🏢 Eclat Health Solutions
📍 Hyderabad