Job Description

Job Opportunity For Associate Director -Service Quality

Job highlights
Minimum 12 years in revenue cycle management with 3 years in quality assurance; Pre authorization experience required

Oversee quality of revenue cycle operations, develop quality assurance programs, lead a team of analysts
Job match score

Early Applicant

Key Skills

Location

Work Experience

15 – 18 Years

1 Vacancy

Not disclosed

Navi Mumbai
Must have key skills
Transactional Quality,Assurance,Quality Assurance
Job description
What you’ll do

Job Title:

Associate Director/ of Quality for Pre Authorization in US Healthcare Job Summary:
The Associate Director of Quality for Revenue Cycle Management in US Healthcare would be responsible
for overseeing the quality of revenue cycle management operations, ensuring that all processes are
executed efficiently and accurately, and that compliance with all relevant regulations and guidelines is
maintained. The Associate Director will lead a team of quality analysts to identify opportunities for
improvement, develop and implement quality assurance programs, and ensure that all activities are
aligned with organizational goals and objectives.
Key Responsibilities:
Lead the development and implementation of quality assurance programs for Pre Auth
operations, including audit protocols, metrics, and reporting mechanisms.
Identify and prioritize areas for improvement based on data analysis, industry benchmarks, and
best practices.
Lead client calls and publish quality metrics, root cause analysis, opportunity areas and action
plan.
Develop and deliver training programs to educate staff on quality assurance procedures,
policies, and regulations.
Collaborate with other departments to establish performance metrics, monitor key performance
indicators, and ensure alignment with overall organizational goals and objectives.
Conduct periodic reviews of revenue cycle management processes, policies, and procedures to
identify areas for improvement and ensure compliance with all relevant policy and guidelines.
Ensure that all quality assurance activities are documented and reported accurately and timely.
Foster a culture of continuous improvement, teamwork, and accountability among staff,
providing guidance and support as needed.
Keep abreast of industry trends and developments and provide recommendations for
enhancements to the revenue cycle management program.
Qualifications:
Minimum 12 years of experience in revenue cycle management in US healthcare, with at least 3
years in a quality assurance role. Pre authorization experience is must.
In-depth knowledge of relevant guidelines, including HIPAA, Medicare, Blue, Commercial and
Strong analytical skills with the ability to analyze complex data and make informed decisions.
Demonstrated ability to lead and manage a team, develop and implement quality assurance
programs, and drive continuous improvement.
Excellent communication and interpersonal skills, with the ability to collaborate effectively with
internal and external stakeholders.
Strong organizational skills with the ability to manage multiple priorities and meet deadlines.
Certification in quality management, such as Six Sigma, is a plus.

Industry type
Medical Services / Hospital
Department
Engineering – Software & QA
Role
Quality Assurance and Testing – Other
Role category
Quality Assurance and Testing
Employment type
Full Time, Permanent
Education
, Any Postgraduate

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Quality Assurance and Testing – Other, Navi Mumbai

About company
Infinx Healthcare is a leading technology enabled intelligent payment lifecycle solutions provider for hospitals, health systems and physician groups USA. From our artificial intelligence-driven Prior Authorization Software, which streamlines preauthorization workflows for hospitals, clinics, imaging centers, and laboratories to revenue cycle management solutions for various specialties, we focus on increasing revenue and improving patient satisfaction for our customers. We have been certified as a Great Place to Work by the Great Place To Work® Institute

Headquarters
14 Floor, 1402, Rupa Renaissance, Pawane MIDC Road TTC Industrial Area, Navi Mumbai, Thane, Maharashtra, 400705, NAVI MUMBAI, Maharashtra, India