Specialist - Quality

Roles and Responsibilities:

• Thorough understanding of min 3+ years of AR /RCM Follow Up and Denials management .
• Should have analytical skills & exhibit clear thinking/reasoning .
• Should be able to comprehend & well-articulated to present his/her thought process well

Role Objective: The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedbacks with transcribes typed by listening 100% of the patient’s feedback surveys.

Essential Duties and Responsibilities:

• Auditing for Onshore and BSO teams.
• Will do audits as per the weekly-monthly audit plan and do PKTs of the team members Participate in process & training calls as required Reports sharing to communicate performance effectively and timely with Ops and QA team .
• Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified.
• QA will be involved in weekly or biweekly calibration calls Will be actively involved in managing escalations received externally and internally
• Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement.
• May have to work long shifts whenever needed and to effectively handle challenging situations.
• Perform all other assigned tasks and responsibilities as assigned.

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone. 

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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