The ideal candidate is a critical thinker who will proactively improve the quality systems of the company through internal audits, participation in process improvement programs, and interaction with key partners to obtain constructive feedback. Responsibilities ● Lead end-to-end quality function across assigned Hospital Billing processes ● Design and implement quality frameworks, audit mechanisms, and scorecards ● Conduct audits on AR workflows ● Analyze quality metrics, identify trends, and drive root cause analysis (RCA) ● Ensure adherence to client guidelines, payer policies, and internal SOPs ● Drive first-pass accuracy and defect reduction initiatives ● Manage and mentor a team of Quality Analysts and SMEs ● Conduct calibration sessions with operations and clients to ensure alignment ● Publish quality dashboards, reports, and insights to leadership ● Partner with Operations, Training, and Transition teams for process improvements ● Lead process improvement projects,



automation initiatives, and best practices ● Handle client audits and quality reviews Qualifications ● 7+ years of experience in US Healthcare RCM with strong quality/audit exposure ● Minimum 2–3 years of experience in Quality leadership role ● Strong understanding of AR, Hospital Billing processes ● Expertise in quality frameworks, audit methodologies, and RCA techniques ● Knowledge of payer guidelines, denial management, and compliance standards ● Solid analytical and data interpretation skills ● Excellent communication and stakeholder management abilities ● Experience in handling client interactions, audits, and governance calls ● Proficiency in MS Excel, dashboards, and reporting tools Interested candidates can connect with: Pratiksha Jogade (phone hidden)/[email protected]

📌 Quality Manager AR (Chennai)
🏢 IKS Health
📍 Chennai