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Key Responsibilities:
Audit AR processes including follow-ups, denials, appeals, and collections
Review work for accuracy, compliance, and adherence to payer guidelines
Analyze denial trends, aging reports, and identify root causes
Monitor insurance calling quality and documentation standards
Ensure timely and accurate claim resolution as per SLAs
Conduct root cause analysis (RCA) and recommend corrective actions
Provide structured feedback, coaching, and mentoring to AR teams
Participate in calibration sessions and quality audits
Prepare and share quality reports and insights with stakeholders
Drive continuous improvement initiatives across AR processes
Qualification:
Graduate from any discipline
Required Skills:
3+ years of experience in US Healthcare RCM AR Quality/Audit
Strong understanding of AR lifecycle, denials, and appeals
Knowledge of payer guidelines and insurance workflows
Good analytical and problem-solving skills
Strong communication (verbal & written) skills
Experience in US payer calling and portals
Proficiency in MS Excel and reporting tools
At IKS, we understand that while technology, quality and regulation drive healthcare today, our good intent has burdened our care teams and broken the bond between patients and physicians. Our team designs solutions to bring efficiency and excellence throughout the delivery system and ultimately allow intimacy back in the exam room. When we entered healthcare, we envisioned it would be better, that we could make it stronger. Odds are you did too. As healthcare evolves, our work adapts with perpetual industry change. Together we can make healthcare what it should be.
Job ID: 144949611
