Job Summary
A Quality Analyst, working within the Advantum Process Improvement team, is responsible for monitoring compliance with billing rules/regulations by conducting reviews/audits of completed work files, educating professionals about workflow, process, documentation, and best practices; and recommending appropriate corrective actions surrounding revenue cycle services. Ensuring quality and integrity in the revenue cycle is key in this role.
Qualification
- Graduate or Post Graduate in any discipline from a recognized educational institute.
Required Competencies
- Candidate must have minimum 5 years of experience in end to end AR process and minimum 1 year of experience in AR audit.
- Good and expertise knowledge in RCM, Denials, and AR process.
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint.
- Excellent written & verbal communication skills.
- Positive attitude.
Job Description
- Performing daily audits of AR team and sending audit report on daily basis.
- Providing effective and constructive feedback to the associates and to help in improving their performance.
- Displaying cool and composed attitude during rebuttals and discussions.
- Meet daily with Team leaders/Supervisor and teammates to review previous day quality results
- Highlight potential issues in the operations to management.
- Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work delivery in the future
- Trending errors to determine training opportunities.
- May provide small group or one-on-one training/cross-training.
- Develop recommendations for corrective action based on quality issues.
- Taking initiatives to improve process and quality mechanism