Senior Executive - Quality Analyst

• Review the work performed by AR Analyst team and document any quality issues.  
• Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality.
• Participate in developing process documentation.
• Provide feedback and work with the training team to provide remedial training.
• Always be at the forefront of ethical behavior and never be a bystander.

Responsibilities

JOB RESPONSIBILITIES:

• Review the work performed by AR Analyst team and document any quality issues.  
• Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality.
• Participate in developing process documentation.
• Provide feedback and work with the training team to provide remedial training.
• Always be at the forefront of ethical behavior and never be a bystander.
  
  Recognize and respect cultural diversity. 
• Adapt communication to an individual’s ability to understand. • Use medical terminology appropriately. 
• Respond to communications received within a reasonable time frame. 
• Project a professional manner and image. 
• Adhere to ethical principles. 
• Demonstrate initiative and responsibility. 
• Work as a team member. 
• Efficient Time Management. 
• Prioritize and perform multiple tasks. 
• Adapt to change, including new hours of operation and methodology. 
• Attend functional team meetings and mandatory in-service education. 

• Maintain proper observation and adherence to company policies and procedures. 

  
  KNOWLEDGE, SKILLS, AND EXPERIENCE:

• Should have worked as a Quality Controller for AR Analysts for at least one year with AR analyst for providers or should have worked more than 6 years as AR analyst
• Must have very good knowledge of AR and be confident in process knowledge.
• Experience in the end-to-end Healthcare process
• Adapting to new situation challenges whenever required.
• Adhere to all company policies and procedure
  LEGAL and COMPLIANCE:
• Maintain patient and company confidentiality. 
• Practice within the scope of education, training, and personal capabilities. 
• Document company documents (hard copy and electronic) accurately. 
• Use appropriate guidelines for releasing information. 
• Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA

Qualifications

• Should be Graduate
• Should have worked as a Quality Controller for AR Analysis for at least one year with medical billing service providers or should have minimum 5 years’ experience as AR Analyst
• Must have very good knowledge of medical billing and be confident in process knowledge.
• Experience in the end-to-end Healthcare process for the audit
• Adapting to new situation challenges whenever required.
• Adhere to all company policies and procedures.
  
  YEARS OF EXPERIENCE:
• Minimum 1 year of experience as Quality Analyst or having 6+ years of experience as AR Analyst

• POSITION RELATIONSHIPS:

• Reports directly to the Assistant Manager

  
  WORKING HOURS:

• 40 hours per week as Full-time employee
• Shift time: 12 PM IST - 9 PM IST

• Weekends Off

  TELECOMMUTER/INTERNET REQUIREMENT:

• High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above
• Must understand and adhere with telecommuter policy
• Must have power backup to mitigate power outage