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

● Solid understanding of AR, Hospital Billing processes

● Expertise in quality frameworks, audit methodologies, and RCA techniques

● Knowledge of payer guidelines, denial management, and compliance standards

● Strong 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 - Hospital Billing (Chennai)
🏢 IKS Health
📍 Chennai