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IKS Health

Quality Expert

IKS Health
Early Applicant
  • a day ago
  • Be among the first 50 applicants
Exp: 2-4 Years
Mumbai, India(estd)

Hospitals/Healthcare/Diagnostics

(estd)
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Job Description

  • Minimum 2 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Accounts Receivables.
  • Expertise in medical billing end to end RCM
  • Strong knowledge on various denials and remark codes and able to take immediate action to resolve them and follow up on the claims for collection of payment
  • Monitor and analyze RCM process errors
  • Audit error corrections both short- and long-term
  • Quantify error rates and their trends individually, by team, by client, and by client pool
  • Analyze the errors to build training materials and tests
  • Create automation solutions to reduce error rates
  • Should be able to resolve billing issues that have resulted in delay in payment
  • Responsible for call/data quality monitoring
  • Provide feedback to agents using the prescribed feedback model
  • Mentoring and coaching agents on process-level issues
  • Monitor adherence to compliance procedures and processes
  • Responsible for reporting program-level quality scores to the process owners
  • Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team
  • Conduct refresher training on the basis of the errors identified
  • Perform weekly analysis aiming at improving SLA
  • Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team
  • Identify and highlight potential risk areas and recommend preventive action
  • Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board

More Info

Industry:Hospitals/Healthcare/Diagnostics

Function:Healthcare

Job Type:Permanent Job

Skills Required

Rcm
DENIALS
compliance procedures
Root Cause Analysis
Quality Monitoring
Brainstorming
Medical Billing
SLA
automation solutions

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Date Posted: 26/11/2024

Job ID: 101550399

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About Company

IKS Health
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At IKS, we understand that while technology, quality and regulation drive healthcare today, our good intent has burdened our care teams and broken the bond between patients and physicians. Our team designs solutions to bring efficiency and excellence throughout the delivery system and ultimately allow intimacy back in the exam room. When we entered healthcare, we envisioned it would be better, that we could make it stronger. Odds are you did too. As healthcare evolves, our work adapts with perpetual industry change. Together we can make healthcare what it should be.

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