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Quality Analyst, Account Receivable Services


Med-Metrix


Location

Chennai | India


Job description

Description

ROLE AND RESPONSIBILITIES

• Ensure that project related quality processes are followed by denials analyst and client specific and internal metrics are achieved.

• Prepare detailed reports on audit findings and understand the quality requirements both from process perspective and for targets. Deliver quality report in a timely manner.

• Identify a method to achieve the quality targets and implement the same in consultation with QCA lead and/or managers. Assist with the Quality Assessment process to ensure all quality standards targets can be met

• Participate in performance improvement activities. Hence, participate in continuing education maintain current credentials, as well as to enhance knowledge and skills.

• Share all relevant information with the team and take initiative to ensure team members get projects completed. Participate in client presentation of findings, when requested.

• Adjust workloads as necessary to achieve successful completion of project.

• Handle complaints, questions, and queries as necessary.

• Disseminates changes in guidelines and rules; monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement to assure compliance.

• Foster an environment of teamwork and service excellence within the department.

• Participate in conference calls/meetings with management and staff to ensure all performance and training recommendations are addressed and improvement suggestions are implemented.

• Assist in new hire training classes, transition periods and refresher trainings as needed

• Knowledge of, understanding of, and compliance with all Armco Healthcare Services Inc. / Med Metrix Philippines policies and procedures.

• Participates in presentations to educate staff on outcomes and plans of correction.

• Ability to meet assigned deadline and work under minimal supervision and with all levels of staff and management.

• Maintain required productivity standards

• Perform other duties as necessary.

DISCLAIMER

• The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Employer reserves the right to modify this job description, including by adding, removing, and altering job duties.


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