Quality Analyst – AR (US Healthcare RCM)

17 Minutes ago • 1-2 Years

Job Summary

Job Description

Neolytix is seeking a detail-oriented Quality Analyst – AR to join its RCM team. This role involves auditing and evaluating the accuracy and effectiveness of AR functions, including claim follow-ups, denial resolution, and collections. The analyst will identify quality gaps, provide feedback, track error trends, and perform root cause analysis to support operational efficiency and client KPIs. The position requires 1-2 years of experience in US healthcare RCM and strong knowledge of AR workflows and billing platforms.
Must have:
  • 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, provide actionable feedback, track error trends, and perform root cause analysis.
  • Maintain detailed documentation of audit results and prepare quality reports for internal stakeholders.
  • Possess 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 billing platforms like Cerner, Athena, Epic, AdvancedMD, or similar tools.
  • Proficiency in Excel and audit tracking templates.
  • Knowledge of HIPAA guidelines and RCM compliance standards.
Good to have:
  • Lean Six Sigma Yellow Belt certification
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

Job Details

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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