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    Job · 16173960

    Infinx logo

    AR/Pre-Auth QA/TL - immediate joiners

    Infinx · Hyderabad · onsite · Posted 45d ago

    ₹3.5L - ₹8.5L PA3–6 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    JOB DESCRIPTION:
    Designation/ Role: Quality Analyst/ TL

    Department: AR/Pre Auth

    Work Timing: Night Shift

    Qualifications: Any Graduate


    Skills: A successful candidate must have proficient knowledge/capabilities in the following areas:

    1. Claims management and/or customer service experience desired.

    2. Bachelors degree preferred, or any equivalent combination of education and experience.

    3. Ability to perform at a high level of productivity and quality.

    4. Capacity to maintain a high level of accuracy.

    5. Excellent written and oral communication skills required to represent Infinx Clients.

    6. Computer skills including Microsoft Office Suite.

    7. Skills to work independently and be resourceful with the ability to multitask.


    Experience: 4+ years experience in AR/Pre Auth process.


    Job Responsibilities:

    • Should possess a complete knowledge and understanding of AR/Pre Auth process, software and Quality guidelines of the clients program assigned.
    • Random Transactional Monitoring Ensuring systematic Quality check of previous days production i.e. Analysis of account, calling analysis, correct follow up, required action taken and updated software, updated productivity report.
    • Identifying errors critical to process such as wrong analysis results in incorrect follow up, Incorrect or incomplete information captured on call, Incorrect or incomplete action taken, incomplete production report.
    • Ensure the Quality score for the process and Payment Posting callers of the team more than 98% or should meet as per the client expectations.
    • Ensure the team must be aware of criticality of Fatal and non-fatal parameters/errors.
    • Ensuring the error must be communicated to associate and process owners. Associate provided constructive feedback about the error committed and corrected.
    • Ensuring that Corrective Action Policy is adhered to and Improvements seen on individuals being audited.
    • Ensure that every week team will be briefed about the major errors committed towards process. Team must be coached about the correct follow ups related to those errors.
    • Weekly/Monthly Quality performance report to be mailed to internal client on time. Reports generated must be error free.
    • Maintaining the Quality Metrics i.e. Process quality score, Individual quality score, number of errors, Corrective Action policy, Categorization of associates, documentation of Fatal errors, Improvement plans, Process Knowledge Test etc.
    • Responsible for random transaction audits and performance of new hires during OJT/Nesting period.

    Interested candidates send your resume to [email removed]

    Sourced from naukri

    Skills

    Eligibility VerificationDenial ManagementDenial HandlingAuthorizationUS HealthcarePre AuthMedical BillingAR Calling

    About Infinx

    Infinx logo

    Infinx

    Software Product

    6.6k+

    employees

    2012

    14 years old

    Mumbai, Maharashtra

    India

    ₹4.3L PA avg

    Avg at Infinx

    ₹3.5L – ₹8.5L PA

    This role

    About

    Collect more revenue with artificial intelligence (AI) driven prior authorization and revenue cycle management (RCM) solutions.

    Industries

    Software Product

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