Job Description
About the Role:
We are seeking a sharp, detail-oriented Quality Analyst with proven experience in U.S. Healthcare Revenue Cycle Management (RCM) to join our growing team. This role is critical in ensuring accuracy, compliance, and process excellence across the entire RCM lifecycle—from End-to-End. If you have a passion for quality, a strong understanding of billing workflows, and a keen eye for detail, we'd love to hear from you.
Key Responsibilities:
- Conduct quality audits for RCM functions, including Eligibility, Authorization, Charge Entry, Claims Submission, Payment Posting, Denial Management, and AR Follow-up
- Analyze test requirements and perform functional, regression, and end-to-end testing on healthcare billing applications
- Validate HIPAA-compliant claim files, payer rules, CPT/ICD code mapping, and insurance-specific workflows
- Perform backend data validation using...
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