Job Description
As a QA RCM, you will be responsible for auditing the work of RCM analysts to ensure the highest standards of service delivery.
Key Responsibilities
- Review the work performed by AR callers 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.
- Check the reports developed by AR callers - aging analysis, understanding days in A/R, top reasons for denials, etc
- Always be at the forefront of ethical behavior and never be a bystander.
Mandatory Skills
- Should have worked as a Quality Controller for AR for at least one year with medical billing service providers.
- Must have very good knowledge of medical billing and be confident in process knowledge.
- Experience in the end-to-end Healthcare process and AR calling for the audit
- Adapting to new situation challenges whenever required.
- Adhere to all company policies and procedures.
Desired Skills
Good communication typing skills.
Talk about our culture and values
At Calpion, were not just a company were a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate. These values drive our every move:
Agile: We thrive on change, adapting swiftly to new challenges.
Collaborative: Together, we achieve greatness through teamwork and diverse perspectives.
Innovative: We push boundaries, constantly exploring new ideas and solutions.
Fun: Laughter and camaraderie make our workplace a joyous one.
Inclusive: Diversity is our strength, ensuring every voice is heard and valued.
Passionate: We approach every task with dedication and enthusiasm.
Join us at Calpion and be part of a culture thats not just about work its about innovation, growth, and making an impact.
Job Classification
Industry: IT Services & Consulting
Functional Area / Department: Quality Assurance
Role Category: Quality Assurance - Other
Role: Quality Assurance - Other
Employement Type: Full time
Contact Details:
Company: Calpion Software
Location(s): Coimbatore
Keyskills:
Service delivery
Manager Quality Assurance
Claims
Medical billing
Process documentation
AR Calling
Agile
Healthcare
Revenue cycle management
Auditing