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Team Lead - Quality (RCM)

Job Description - Team Lead - Quality (RCM)

Company


Acurus (Akido Labs) is seeking an experienced Team Lead - Quality to drive quality excellence across Revenue Cycle Management operations and support continuous process improvement initiatives.


Position Summary


The Team Lead - Quality will be responsible for leading quality assurance activities, conducting audits, coaching teams, identifying process gaps, driving corrective actions, and ensuring compliance with client and organizational quality standards.


Key Responsibilities



  • Lead and manage quality assurance activities for RCM processes including eligibility, charge entry, coding, AR follow-up, payment posting, and denial management.

  • Perform transaction audits and process reviews to ensure adherence to client requirements and internal SOPs.

  • Analyze quality trends, identify recurring errors, and recommend preventive and corrective actions.

  • Prepare and present quality dashboards, scorecards, reports, and improvement plans to management.

  • Conduct calibration sessions with operations teams and stakeholders.

  • Provide coaching, feedback, and quality training to team members and process associates.

  • Drive continuous improvement initiatives and support process excellence projects.

  • Ensure compliance with HIPAA, client-specific requirements, and organizational policies.

  • Collaborate with Operations, Training, and Leadership teams to improve overall performance and customer satisfaction.

  • Mentor quality analysts and support career development activities.


Qualifications & Experience



  • Bachelor’s degree in any discipline.

  • 5-8 years of experience in healthcare RCM/BPO operations with at least 2 years in Quality leadership.

  • Strong understanding of quality tools, root cause analysis, and performance improvement methodologies.

  • Excellent analytical, communication, and stakeholder management skills.

  • Advanced knowledge of MS Excel, PowerPoint, and quality reporting.

  • Experience in managing client-facing quality reviews is preferred.


Key Competencies



  • Leadership and people management

  • Analytical thinking and problem solving

  • Attention to detail

  • Process improvement mindset

  • Data interpretation and reporting

  • Training and coaching capabilities

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