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.
Responsibility Areas:
1. Participate in client calls and understand the quality
requirements both from process perspective and for
targets
2. Identify a method to achieve the quality targets and
implement the same in consultation with operations
manager / Team Manager
3. Collect data on individual transactions (chart, claim,
EOBs etc) on the errors
4. Provide face to face feedback and also send emails
with the type of errors etc. on daily basis
5. Coach employees to minimize errors and improve
performance
6. Provide inputs to the training team on common
mistakes made to enhance training curriculum
7. Test files/batches for new clients/processes to be
processed as part of familiarization
8. Generation of QA reports on a daily basis
9. Attainment of Internal External SLA as per Process
Defined.
10. Strict adherence to the company policies and
procedures.
