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Specialist- Quality

R1 RCM
Location: Gurgaon, Experience: 6 years - 10 years
Posted On: 13-Feb-2025 | Last Date to Apply: 28-Feb-2025 | No: of Vacancies : 1 | CTC: 5 to 7 Lacs

Company Profile:

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities

Job description:

Designation: Specialist- Quality Analyst

Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patient’s feedback surveys.

Essential Duties and Responsibilities: Auditing for Onshore and BSO teams. Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned.

Skill Set: Well versed in transactional and voice audits(up to 100%) Should have working knowledge of sampling methods, PDCA, DPO, DPMO and other Quality Tools and methods Proficient in MS Office Should have Analytical and problem-solving skills Should be able to capture VOC and document effectively Should be able to prepare SOP and document process whenever required Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP Should be flexible with working in 24/5 environment Should be good in abiding predefined instructions and processes Should be open and flexible towards ad-hoc projects & tasks Should have good feedback sharing skills Must have proven track record of performance in previous assignment.

 Pre-requisite:

o    Thorough understanding of AR Follow Up and Denials management

o    Should have overall 3+ years of experience in RCM Follow Up

o    Should have analytical skills & exhibit clear thinking/reasoning

o    Should be able to comprehend & well-articulated to present his/her thought process well
 

Key Qualifications

Bachelors

Education

Any Bachelors Degree

Skills

Quality Analyst,Quality Assurance,Quality Auditor,US Healthcare,AR Follow up,Denials,

Industry

Healthcare

Gender Preference:

Any

Job Type:

Full Time

Diversity Tags:

Not Applicable