AR Quality Manager - Hyderabad

Hello Connections,

Greetings from Eclat Health !!!

Job Title: Assistant Manager / Manager AR Quality (Accounts Receivable RCM)

Location: Hyderabad

Industry: Healthcare / US Healthcare RCM

Experience: 11 - 16+ Years in End to End RCM for Quality

Employment Type: Full-Time

Job Summary

We are looking for an experienced AR Quality Assistant Manager / Manager to lead quality assurance initiatives across US Healthcare Revenue Cycle Management (RCM). The role involves driving quality performance, improving AR calling accuracy, reducing errors, ensuring process compliance, and leading a team of quality analysts.

Key Responsibilities

• Lead and manage the AR Quality team for US Healthcare RCM operations.
• Monitor and evaluate AR calling, denial management, and account follow-up processes.
• Conduct quality audits, identify process gaps, and implement corrective and preventive actions.
• Drive quality improvement initiatives to enhance accuracy, productivity, and compliance.
• Analyze quality metrics, audit scores, error trends, and process performance.
• Conduct calibration sessions with Operations, Training, and Quality teams.
• Develop quality dashboards, reports, and performance review presentations.
• Ensure adherence to client SLAs, quality standards, and process guidelines.
• Coach and mentor Quality Analysts and Team Leads to improve performance.
• Collaborate with Operations and Training teams to drive continuous improvement.

Required Skills & Qualifications

• 11 - 16+ years of experience in US Healthcare RCM.
• Strong experience in AR Quality Assurance / Quality Audits / Denial Management.
• Minimum 23 years of experience in Quality leadership or team management.
• Strong knowledge of Physician Billing and/or Hospital Billing.
• Expertise in quality metrics, audit methodologies, RCA, CAPA, and process improvement.
• Excellent analytical, communication, stakeholder management, and leadership skills.
• Proficiency in MS Excel, reporting, and quality dashboards.

Preferred Experience

• Experience managing quality teams in a high-volume US Healthcare RCM environment.
• Knowledge of CMS-1500, UB-04, insurance follow-up, denials, and payer guidelines.
• Experience in client audits, quality calibration, and process transitions.

Key Performance Indicators (KPIs)

• Quality Audit Score
• Error Rate and Accuracy
• Process Compliance
• Root Cause Analysis and CAPA Effectiveness
• Quality Improvement and Client SLA Adherence

Contact HR - Vinay (WhatsApp - [phone removed])

Email : [email removed]

Regards

HR Team

Eclat Health Solutions India Pvt Ltd