Quality Team Lead

Job Description

AR Quality Team Lead – Hospital Billing (US Healthcare)

Company: Omega Healthcare Management Services
Job Role: AR Quality Team Lead – Hospital Billing
Industry: US Healthcare / Revenue Cycle Management (RCM)
Location: Chennai
Experience Required: 7 – 10 Years
Notice Period: Immediate Joiners / Maximum 15 Days

Job Summary

The organization is seeking an experienced AR Quality Team Lead to manage and lead the Accounts Receivable (AR) Quality team within the US Healthcare Hospital Billing domain.

The role involves conducting quality audits, handling denial management reviews, analyzing error trends, preparing RCA reports, and ensuring compliance with client SLAs and quality KPIs.

Candidates with strong exposure to Hospital Billing (IP/OP), quality auditing, and team handling experience are preferred.

Key Responsibilities
AR Quality Management
Lead the AR Quality team for Hospital Billing processes (IP/OP).
Conduct regular quality audits for:
Billing
Collections
Denial management
Ensure process accuracy and compliance with client requirements.
Reporting & Process Improvement
Identify recurring errors and process gaps.
Share feedback with operations teams for quality improvement.
Prepare and maintain:
Quality reports
RCA (Root Cause Analysis) reports
Performance tracking reports
Team Leadership
Monitor team performance against quality KPIs and SLAs.
Collaborate with operations and management teams.
Support continuous process improvement initiatives.
Required Skills
Domain Knowledge
Strong knowledge of:
US Healthcare AR processes
Hospital Billing
UB-04 forms
IP/OP billing workflows
Payer guidelines
Denial management
Technical & Analytical Skills
Quality auditing experience
RCA reporting and analysis
MS Excel proficiency
Quality tracking tools knowledge
Leadership Skills
Team handling and mentoring experience
Strong communication and analytical abilities
Ability to drive process improvement and compliance
Eligibility Criteria
Experience
7+ years of experience in AR / Hospital Billing process
Minimum 1 year of experience as a Quality Team Lead
Education
Any Graduate can apply
Preferred Candidate Profile
Strong exposure to US Healthcare RCM operations
Experience in handling hospital billing quality processes
Immediate joiners or candidates serving short notice preferred
Apply Now

👤 Contact Person: Suriyakala Rajasekar
📧 Email: suriyakala.rajasekar@omegahms.com