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Quality Analyst/ Senior Quality Analyst
Quality Analyst/ Senior Quality AnalystConfidential • Gurugram, Gurgaon / Gurugram, India
Quality Analyst / Senior Quality Analyst

Quality Analyst / Senior Quality Analyst

Confidential • Gurugram, Gurgaon / Gurugram, India
1 day ago
Job description

The impact you will make

  • Ensure Providers collect 100% of the amount due from the Insurance, the first time, in the shortest time possible and at a lower cost.
  • As an AR Quality Analyst, you will be responsible for effective feedback sharing, effective sessions, client interactions, and generating / distributing quality domain-related reports to the leadership team.
  • A quality assurance system increases customer confidence and a company's credibility. It also improves work processes, efficiency, and competitiveness.

What you will do

  • Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management Correspondence review
  • Very good understanding of RCM metrics like Ageing above 90 days, Collections, and bad debt
  • Periodically monitor teams' performance and recommend performance improvement plans wherever required.
  • Hands-on in preparing daily, weekly monthly operational metrics reports from the Practice.
  • Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues.
  • Ensure projects are delivered on time with accuracy.
  • Identify and resolve queries / issues that result in the delay of payment.
  • Excellent time-management and self-governance skills
  • Provide constructive feedback, given on a consistent basis with the aim of improving the quality of work done.
  • Help in auditing transactions in different domains like Charge entry, Payment entry, and denial handling, and provide inputs on client-related issues, along with valuable suggestions to improve processes or client profile instructions.
  • What you will bring

  • Minimum a Graduate in any field of their choice.
  • Ability to work in night shifts i.e. 06 : 00 PM to 03 : 00 AM IST for Gurugram.
  • Good understanding of Revenue Cycle Management (US Medical Billing), Provider / Hospital
  • 2+ years of experience as an AR caller and at least 1 year of experience as a Quality Analyst in US healthcare.
  • Should identify and propose training needs based on the auditing.
  • Ability to handle multiple tasks of reporting simultaneously.
  • Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem-solving, and quantitative abilities.
  • Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role.
  • What we would like to see

  • Ability to plan & prioritize work.
  • Demonstrated ability to achieve targets.
  • Good working knowledge of Microsoft Office.
  • Good problem solving & decision-making skills.
  • Must be self-motivated and detail-oriented.
  • Six Sigma and quality tools knowledge is an added advantage.
  • About FinThrive

    FinThrive is advancing the healthcare economy.

    For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com / why-finthrive

    Award-winning Culture of Customer-centricity and Reliability

    At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https : / / finthrive.com / careers#culture

    Our Perks And Benefits

    FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits.

  • Professional development opportunities
  • Term life, Accidental & Medical Insurance
  • Meal and Transport arrangements
  • FinThrive's Core Values and Expectations

  • Demonstrate integrity and ethics in day-to-day tasks and decision-making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable, and Engaged, operate effectively in the FinThrive environment and the environment of the workgroup, maintain a focus on self-development and seek out continuous feedback and learning opportunities
  • Support FinThrive's Compliance Program by adhering to policies and procedures about HIPAA, GLBA, FCRA, and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.
  • FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.

    © 2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks, and logos are owned by FinThrive or related entities. RV092724TJO

    Skills Required

    Revenue Cycle Management, Microsoft Office, Quality Assurance, Six Sigma

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    Quality Analyst • Gurugram, Gurgaon / Gurugram, India

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