Quality Assurance (Revenue Cycle Management)

About

Plutus Health Inc. is a healthcare revenue cycle management firm that has been in the industry for 15 years. We offer end-to-end business solutions to healthcare providers in the United States, ensuring that all our services are fully compliant with HIPAA regulations. Our team has extensive experience in the field, and we leverage cutting-edge technology to ensure that your medical billing and collections processes run smoothly.

Along with being SOC-certified and HIPPA-compliant, we have:

• Full-Cycle RCM: We handle everything from medical coding and credentialing to denial management and patient collections.
• Tech-Driven Efficiency: Our team of 1000+ experts, each with their unique expertise, is backed by 70+ RPA bots for automation, ensuring accuracy and speed.
• Flexibility: We offer billing software, financial dashboards, and patient portals, and we integrate seamlessly with your existing systems.

We have Centers of Excellence worldwide to effectively serve your needs, with our headquarters located in Dallas.

Life at Plutus Health

Plutus Health offers an unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients.

Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals.

Job Title: Quality Assurance/Analyst (Revenue Cycle Management)

Report To: Team Lead - QA

Experience: 5+ Years

Qualification: Any Degree

Location: Coimbatore / Bangalore

Shift Time: 06:30 PM - 03:30 AM Night Shift

Mode: Work From Office

Terms-Fulltime/Part time/Contractual: Full-Time‍

Job Summary

As a QA RCM, you will be responsible for auditing the work of RCM analysts to ensure the highest standards of service delivery.

Key Responsibilities

• Review the work performed by AR callers and document any quality issues.  
• Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality.
• Participate in developing process documentation.
• Provide feedback and work with the training team to provide remedial training.
• Check the reports developed by AR callers - aging analysis, understanding days in A/R, top reasons for denials, etc
• Always be at the forefront of ethical behavior and never be a bystander.

Mandatory Skills

• Should have worked as a Quality Controller for AR for at least one year with medical billing service providers.
• Must have very good knowledge of medical billing and be confident in process knowledge.
• Experience in the end-to-end Healthcare process and AR calling for the   audit
• Adapting to new situation challenges whenever required.
• Adhere to all company policies and procedures.

Desired Skills

Good communication typing skills.