Conduct routine and random audits of healthcare billing transactions including charges, payments, claims follow-up, denials, and AR activities
Review daily, weekly, and monthly productivity reports of billing associates
Validate logged production against actual completed work
Investigate quota discrepancies, overstatements, duplicate entries, or unsupported outputs
Monitor AR aging inventory and collector activity
Audit follow-up actions for unpaid, denied, underpaid, or pending claims
Ensure adherence to client SOPs, HIPAA standards, internal controls, and company policies
Monitor completion of required trackers, checklists, and month-end deliverables
Support implementation of new controls, metrics, and process enhancements
Prepare QA scorecards, performance dashboards, and error trend analysis
Present findings to Team Leads, Supervisors, and Management
Provide structured feedback to employees and leaders based on audit results

Bachelor's degree preferred or equivalent work experience
Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
Minimum 1–3 years experience in Healthcare Billing, Medical Billing, Dental Billing, AR, or Revenue Cycle Management
QA or audit experience in a BPO/shared services environment preferred
Strong knowledge of claims lifecycle, denials management, AR follow-up, payment posting, and productivity metrics
Advanced Excel / Google Sheets reporting skills preferred
Strong analytical, documentation, and stakeholder management skills

Quality Assurance Consultant

Key skills