Job Description

TITLE : QA- RCM DEPARTMENT : Huron Healthcare RCM Group WORK HOURS : 5 days a week and willing to work in shifts including night shifts LOCATION : Bangalore, India. Job Name QA- RCM As an RCM process specialist, you will be responsible for team handling, work allocation, client interactions and generating, distribute RCM metrics reports to the leadership team. Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role. Position Summary: Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review Very good understanding of RCM metrics like Days in AR, aging above 90 days, Collections, and bad debt Perform Quality checks/audits on all claims processed as per quality policy or as per client SOP Responsible for getting the claims processed in compliance to the billing rules mentioned and ensuring all errors are identified in QA and actions initiated before the claim is rebilled to the insurance Implement Lean Six Sigma methodologies to improve the accuracy of the processes Consistently review the audit parameters and modify as per the necessary requirement Prepare daily, weekly & and monthly audit metrics reports and share it with leadership Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format Establish a strong relationship with Team Leaders / Managers by demonstrating the gaps, trends & and patterns identified during the data/report compilation Suggest ways of improvement and set up calibration sessions with onshore and internal teams Develops documentation of quality-related MIS work to have smooth operations and easy system maintenance QUALIFICATIONS: 3+ years of industry experience 2+ years Experience in relevant RCM functions performing quality audits Hands-on experience in reporting with proficiency in MS Excel and MS PowerPoint Strong ability to analyze raw data, draw conclusions, and develop actionable recommendations 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 solving and quantitative abilities. Solid verbal and written communication skills are required. Education/Certifications: Graduate Any quality-related certifications like Lean Six Sigma can be an added advantage Huron Info: Company\'s LinkedIn profile- https://www.linkedin.com/company/huronconsulting/posts/feedView=all Company showcase page- https://www.linkedin.com/showcase/huron-technology-&-analytics/ https://player.vimeo.com/video/175862873 About Huron Leadership - https://www.huronconsultinggroup.com/company/leadership

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