Quality Auditor, AR at nimble International

Hyderabad, Telangana, India -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

18 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Transaction Audits, Denial Management, Appeal Quality, SOP Compliance, Payer Guidelines, Root Cause Analysis, Quality Huddles, Calibration Sessions, QA Dashboards, Stakeholder Management, HIPAA Compliance, Data Security, Attention To Detail, Process Oriented, Excel, Data Validation

Industry

Hospitals and Health Care

Description

Description Job title: AR Quality Auditor Hyderabad, Telangana Key Responsibilities Conduct daily transaction audits of AR follow-ups across payers (Commercial, Medicare, Medicaid). Review documentation accuracy, denial handling, appeal quality, and call notes. Validate compliance with SOPs, payer guidelines, and client-specific instructions. Identify root causes of denials and revenue leakage. Maintain audit logs and track accuracy scores. Conduct Quality Huddles & Calibration. Lead weekly quality huddles with AR teams. Discuss common errors, denial trends, and audit findings in huddles. Conduct calibration sessions with Operations to ensure scoring alignment. Share payer updates and process clarifications. Drive awareness on productivity vs quality balance. Prepare weekly QA dashboards covering: Accuracy % Critical error % Denial trends Rework % Agent-wise performance variance Publish monthly quality trend reports with root cause analysis. Present insights to Operations leadership with actionable recommendations. Track improvement metrics post coaching interventions. Provide structured one-on-one feedback to AR specialists. Conduct refresher training sessions based on audit findings. Monitor improvement post coaching and document progress. Collaborate with Training team to update SOPs if recurring errors are observed. Identify process gaps and recommend corrective/preventive actions. Participate in client quality reviews. Ensure adherence to HIPAA compliance and data security standards. Must have high attention to detail Structured & process-oriented Influencing without authority Data-driven decision making Strong stakeholder management Requirements Eligibility Criteria: Minimum 3 years of experience in Denial Management experience. Minimum 1 year tenure as an active employee with nimble Solutions Open only for AR employees within the RCM function & willing to work in Night Shift Strong written and verbal communication skills No active disciplinary actions or Performance Improvement Plans (PIP) Ability to review, validate, and question data effectively Working knowledge of Excel and tracking tools Willingness to work across multiple systems and platforms

Responsibilities

This role involves conducting daily transaction audits of Accounts Receivable follow-ups across various payers, reviewing documentation, and validating compliance with established guidelines. The auditor will also lead quality huddles, conduct calibration sessions, and prepare detailed quality performance reports for leadership.