Quality Control Analyst - Medical Reviewer

About the role

The QC is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service and Ensuring that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement

What you'll do

• Participate in client calls and understand the quality requirements both from process perspective and for targets
• Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager
• Collect data on individual transactions (chart, claim, EOBs etc) on the errors
• Provide face to face feedback and also send emails with the type of errors etc. on daily basis
• Provide inputs to the training team on common mistakes made to enhance training curriculum

What you need

• 1.5–5 yrs of experience
• Quality control
• GMP
• Regulatory affairs
• HPLC
• Microbiology
• Public relations
• Any graduate

Good to have

• Accounts receivable