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Quality Assurance (Revenue Cycle Management) @ Calpion Software

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 Quality Assurance (Revenue Cycle Management)

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

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Keyskills:   Service delivery Manager Quality Assurance Claims Medical billing Process documentation AR Calling Agile Healthcare Revenue cycle management Auditing

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Calpion Software

Calpion was founded in 2004 with the vision to provide high quality solutions & services at the intersection of business and technology to Fortune 500 & mid-market customers. Calpion provides high quality & sustainable value to our customers through our core services that include Healthcare applicat...