WorldSource Healthcare Hiring for QAE – Quality at Chennai, Tamil Nadu Full Time

QAE – Quality

Job Code: WSI-Quality-1D

Department: Quality

Function Category: Medical Billing/AR

Group/Grade: 1D

Designation: QAE – Quality

Reporting to: Assistant Manager – Quality

Role Details :
This role is primarily focuses on performing on all billing and AR audits

Area of responsibility :
Should have the end to end RCM knowledge and be capable to audit Demo, Eligibility, Charge Entry, Payments, Rejections, AR follow up and Denials

To do Focus and Process audit

To conduct ‘Ramp up’ meeting with new agents and provide daily feedback

Providing advice, ideas and feedback to the team on meeting quality standards

To take initiative in addressing the global issues

Should provide daily feedback on the errors with corrective and preventive actions

To be part of new projects transition for assigned project

To learn new specialties, process/scopes

Should perform audits for the minimum 5% or more

Identifying inefficient or ineffective users and giving constructive feedback for their improvement

Need to prepare daily and weekly reports

Need to prepare the Monthly quality reports and conduct monthly meeting with the operation team

Should identify the process gap’s and provide feedback to the operation team

Should address focussing and improvement areas for each project

Should address the top errors which impact the quality score and provide the quality and error trends

Account Manual questions should be prepared

Should monitor the agent’s calls and provide the appropriate feedback

Behaviour Competencies / Knowledge required and desirable :
Reporting Research Results

Analyzing & Auditing Skill

Ability to Understand Process and deliver as per client needs

End to End RCM Knowledge

Internal Communication

Attention to Detail

Administrative Writing Skills

Excellent skills in (desirable) :
Proficient in MS office/ Typing Skills

Good Analytical Skill

Good Communication Skills

Coaching Skills

Working Relationships/ Span of the role :
Internal – QAE’s, SQAE, Assistant Manager

External – Clients (Specify name if any)

Qualifications :
Graduate in any Stream or equivalent;

Experience (No. of years) :
Minimum 4 Years of Healthcare Experience

Location: Chennai

Other special requirement: Should have the experience into Quality for the minimum of 1 year

Availability of role: High

Criticality of the role: High

Growth: Horizontal