Quality Analyst – AR (US Healthcare RCM)

4 Months ago • 1-2 Years
Quality Analysis

Job Description

As a Quality Analyst – AR, you will audit and evaluate the accuracy of AR functions, including claim follow-ups, denial resolution, and collections. You will provide feedback, track errors, and suggest corrective measures. You will also prepare quality reports, collaborate with the Quality Team, and stay updated on industry practices, ultimately supporting process integrity and client KPIs. This role requires strong analytical, documentation, and communication skills, along with knowledge of HIPAA guidelines and RCM compliance standards.
Good To Have:
  • Hands-on experience with Cerner, Athena, Epic, AdvancedMD, or similar billing platforms
  • Proficiency in Excel and audit tracking templates
  • Knowledge of HIPAA guidelines and RCM compliance standards
  • Lean Six Sigma Yellow Belt certification is a plus
Must Have:
  • Bachelor’s degree in Commerce, Business, or a related field
  • 1 to 2 years of experience in US healthcare RCM, specifically in AR follow-up
  • Strong knowledge of denial types, AR workflows, payer communication
Perks:
  • Complimentary medical coverage for your family
  • Retirement savings and insurance benefits
  • Transparent performance reviews and growth support
  • Employee rewards through the Pixel Workplace Recognition Program
  • Work-life balance with a supportive, collaborative culture

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Position: Quality Analyst – AR (US Healthcare RCM)
Location: Onsite – Sector 18, Gurugram
Shift: Night Shift (US Hours)
Company: Neolytix

About Neolytix
Neolytix is a trusted provider of business solutions for healthcare organizations across the United States. We specialize in revenue cycle management (RCM), compliance, and business support, helping our clients drive growth, operational efficiency, and financial health.
With a 4.7⭐ rating on Google and 4.2⭐ on Glassdoor, we take pride in fostering a workplace that values transparency, learning, and results.

Position Overview
We are looking for a detail-oriented Quality Analyst – AR (Accounts Receivable) to join our RCM team. This role focuses on auditing and evaluating the accuracy and effectiveness of AR functions including claim follow-ups, denial resolution, and collections. Your insights will directly support the operations team in maintaining process integrity and achieving client KPIs.

Key Responsibilities
  • Audit AR-related activities such as insurance follow-ups, aging buckets, denial handling, and collections
  • Review claim resolution workflows to ensure adherence to client-specific guidelines and compliance standards
  • Identify quality gaps and provide actionable feedback to AR executives and team leads
  • Track error trends, perform root cause analysis, and suggest corrective measures
  • Maintain detailed documentation of audit results and participate in calibration sessions
  • Collaborate with the Quality Team to ensure consistency in audit methodology
  • Prepare and share quality reports with internal stakeholders on a regular basis
  • Stay updated on US payer rules, coding norms, and RCM industry practices


Qualifications & Experience
  • Bachelor’s degree (Commerce, Business, or related field)
  • 1 to 2 years of experience as a Quality Analyst in US healthcare RCM, specifically in AR follow-up
  • Strong knowledge of denial types, AR workflows, payer communication, and appeals process
  • Hands-on experience with tools like Cerner, Athena, Epic, AdvancedMD or similar billing platforms
  • Proficiency in Excel and audit tracking templates
  • Strong analytical, documentation, and communication skills
  • Knowledge of HIPAA guidelines and RCM compliance standards
  • Lean Six Sigma Yellow Belt certification is a plus


Why Join Neolytix?
  • Complimentary medical coverage for your family
  • Retirement savings and insurance benefits
  • Transparent performance reviews and growth support
  • Employee rewards through the Pixel Workplace Recognition Program
  • Work-life balance with a supportive, collaborative culture


Apply Now
Be part of a team that values quality, precision, and real healthcare impact. Join Neolytix.

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