Quality Associate - Healthcare Revenue Cycle Management

Quality Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Position Summary:

Ensure accurate review and quality assurance of payment posting and revenue cycle operations to support reliable financial records and customer account resolution. This position is based in Chennai, India and is an in-person role. This role reports to the Associate Quality Manager.

About The Team:

The Quality Associate will be supporting the delivery and execution of business solutions for the Technology Enabled Services organization. Your mission will be to propose and coordinate the implementation of solutions to improve customer value and athena operational efficiency. The Associate will be an expert in US healthcare domain (Revenue cycle Management, Clinical Document Services and Authorization Management). The position requires analytical thinking, superior attention to detail, and strong communication skills

Essential Job Responsibilities:

50% Business Analysis and Process Improvement

• Use data analysis and qualitative evaluation to determine root causes of a problem
• Analyze trends to deliver clear and compelling data stories to stakeholders
• Design elegant solutions that favor automation, work prevention, and product enhancement over manual workflows
• Seek and consume internal and external client feedback to inform decision making and improvement opportunities
• Identify opportunities to expand the value we provide to clients through more or better service(s) using your understanding of customer business problems
• Master workflow design and analysis through Lean Six Sigma or other operational engineering techniques, considering impact on dependent processes and ensuring continuity of work delivery 
• Identify opportunities to expand the value we provide to clients through more or better service(s) using your understanding of customer business problem
• Staying Up to date on changes in healthcare regulations such as HIPAA and federal guidelines and ensuring compliance within the medical billing component

40% Project & Stakeholder Management

• Lead initiatives and projects that improve client and operational outcomes over a planning cycle, representing broad subject matter expertise
• Creates and curates project plans and initiative roadmap, balancing and setting clear stakeholder expectations and proactively identifying areas of risk
• Identify and define success criteria to create transparency and visibility into process success and/or improvement areas
• Interface with internal and external stakeholders as needed to remediate pain points and optimize desired outcomes
• Need to foster collaboration among the internal and external stakeholders to promote alignment, teamwork and shared accountability in achieving the quality outcomes

10% Mentorship and Training

• Provide support, mentoring, and ongoing education opportunities for new hires and colleagues across Operations, creating content and collateral as needed  
• Shares role specific content knowledge 
• Actively participates with team and engages peers in learning and understanding

• Use AI-assisted tools to accelerate data review, summarize transaction patterns, or draft audit notes; verify outputs and apply professional judgement before finalizing results. 
• Participate in validation and testing of process or system changes that affect payment posting and AR workflows.

Additional Job Responsibilities:

• Assist with ad hoc investigations or escalations that require deeper transaction review. 
• Support training sessions or create reference guides for payment posting and AR best practices. 
• Contribute to project work aimed at improving automation, reconciliation, or reporting processes. 
• Help prepare materials for internal audits or compliance reviews as requested. 
• Participate in cross-functional meetings to share quality insights and collaborate on solutions. 
• Provide backup support for related operational tasks during peak periods or team coverage needs.

Expected Education & Experience:

• Any UG or PG degree must.  
• Overall, 5 to 7 years’ experience in US Healthcare industry.
• US Healthcare RCM knowledge with expertise on Payment Posting/ AR Management processes
• Experience working with cross-functional groups and teams to achieve common goals
• Experience interfacing with internal or external customers to achieve a desired objective
• Basic awareness of Lean Six Sigma concepts – exposure to Pareto analysis, Cause &Effect diagram, and control charts