Medical Billing Quality Analyst—Health Care
Job Description
Key Skills
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- Random Transactional Monitoring – Ensuring systematic Quality check of the previous day’s
production i.e. Analysis of account, Calling analysis, correct follow-up, required action
taken and updated software, updated productivity report. - Identifying errors critical to the process such as wrong analysis results to incorrect follow-up,
Incorrect or incomplete information captured on call, Incorrect or incomplete action
taken, incomplete production report. - Ensure the team is aware of the criticality of Fatal and non-fatal parameters/errors.
- Ensuring the error must be communicated to associates and process owners. The associate
provided constructive feedback about the error committed and corrected. - Ensuring that Corrective Action Policy is adhered to and Improvements are seen in
individuals being audited. - Ensure that every week team will be briefed about the major errors committed in
the process. The 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 Tests, etc. - Responsible for random transaction audits and performance of new hires during
OJT/Nesting period.
Role
Quality Manager
Timings
Night Shift (Permanent)
Industry
Medical / Healthcare / Hospital
Work Mode
Work from office
Functional Area
ITES / BPO / Customer Service
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Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
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