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Acurus Solutions

Team Lead – Quality - Revenue Cycle Management

Business OperationsUpdated on Nov 12
Full-timeRoyapettah, Chennai, Tamil Nadu, IndiaNo salary listedIn-person

About the Job

Requirements

  • A bachelor's degree in any discipline is required.
  • At least 5 years of experience in healthcare Revenue Cycle Management or business process outsourcing operations, including at least 2 years in quality leadership.
  • Strong understanding of quality tools, root cause analysis, and performance improvement methodologies.
  • Advanced knowledge of Microsoft Excel, PowerPoint, and quality reporting.
  • Strong analytical, communication, and stakeholder management skills.
  • Ability to train and coach team members.

Responsibilities

  • Lead and manage quality assurance activities for Revenue Cycle Management processes, including eligibility, charge entry, coding, accounts receivable follow-up, payment posting, and denial management.
  • Perform transaction audits and process reviews to ensure adherence to client requirements and internal standard operating procedures.
  • Analyze quality trends, identify recurring errors, and recommend preventive and corrective actions.
  • Prepare and present quality dashboards, scorecards, reports, and improvement plans to management.
  • Conduct calibration sessions with operations teams and stakeholders.
  • Provide coaching, feedback, and quality training to team members and process associates.
  • Drive continuous improvement initiatives and support process excellence projects.
  • Ensure compliance with the Health Insurance Portability and Accountability Act, client-specific requirements, and organizational policies.
  • Collaborate with Operations, Training, and Leadership teams to improve overall performance and customer satisfaction.
  • Mentor quality analysts and support career development activities.

Desired Qualifications

  • Experience managing client-facing quality reviews.

About the Company

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