Role Description Overview: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:Participate in client calls and understand the quality requirements both from process perspective and for targetsIdentify a method to achieve the quality targets and implement the same in consultation with operations manager / Team ManagerCollect data on individual transactions (chart, claim, EOBs etc) on the errorsProvide face to face feedback and also send emails with the type of errors etc. on daily basisCoach employees to minimize errors and improve performanceProvide inputs to the training team on common mistakes made to enhance training curriculumTest files/batches for new clients/processes to be processed as part of familiarizationGeneration of QA reports on a daily basisAttainment of Internal & External SLA as per Process Defined. Strict adherence to the company policies and procedures. Extensive Quality experience Audits, Coaching & training as per process defined. Min of 1. 5 Yrs of Professional and Relevant ExperienceSound knowledge in Healthcare concept. Excellent Communication skills Verbal & Non VerbalCritical problem solving and issue resolutionMust have Good Product and Process KnowledgeMust have good analytical and judgmental skillsQuality Feedback/Refresher sessions Prepare and Maintain Quality status reports