Quality Analyst, AR
Audit the work, not the worker's word for it. You are the independent check on whether AR actions were correct, documented and defensible.
The role
What this job actually is
Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.
Volume without quality is just faster rework. You audit a sample of AR touches every day and score them honestly: was the right action taken, was it taken in the right order, is the note good enough for the next person, and would this hold up if a client or an auditor read it. You report what you find without softening it, and you close the loop by turning repeat errors into training that actually changes behaviour. You calibrate with the other auditors so the score means the same thing whoever gives it, and you keep the audit trail clean enough that a client or a compliance review can be answered from it.
Ownership
What you will own
Daily audit sample
Audit AR touches across callers, payers and clients against a defined scorecard. Statistically meaningful, not convenient.
An honest scorecard
Score accuracy of action, sequence, documentation quality, compliance and client-rule adherence. Calibrate regularly so two auditors reach the same score.
Error taxonomy
Classify defects by type and severity. A missed appeal deadline and a typo are not the same finding.
Feedback that changes behaviour
Deliver findings to callers and team leads with the specific fix, and re-audit to confirm it stuck.
Training input
Convert the top recurring defects into refresher content and new-hire certification checks.
Client and compliance readiness
Keep the audit trail such that any client or internal compliance review can be answered with evidence, same day.
Ramp
Your first 90 days
First 30 days
Learn the process, the client-specific rules and the current scorecard. Calibrate against existing auditors and flag where the scorecard is vague.
By day 60
Running the full daily sample, publishing weekly quality reporting by caller and by client, with the defect taxonomy in use.
By day 90
Measurable reduction in the top two defect categories, and a re-audit process that proves the feedback worked.
Requirements
What we look for
- MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
- Two or more years in US healthcare RCM with direct AR, denial or payer follow-up experience, plus audit or QA exposure
- Able to independently judge whether an AR action was correct, not just whether a field was filled in
- Strong written English, because a finding that is not clearly written is not actionable
- Objective under pressure, willing to report a score the floor will not like
- On-site in Chennai
Bonus
Strong plus, not required
- Formal QA or internal audit training, or Six Sigma exposure
- Behavioral health, ABA, hospital or FQHC AR background
- Experience building or calibrating a quality scorecard from scratch
- Familiarity with HIPAA minimum-necessary and documentation standards
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| Audit coverage | Sample size and coverage across callers, clients and payers against plan. |
| Quality score | Floor-level accuracy score, trending up, with calibration holding. |
| Defect reduction | Top recurring error categories, reduced and confirmed by re-audit. |
| Calibration variance | Score agreement between auditors, kept inside a tight band. |
| Feedback turnaround | Hours from audit to documented feedback delivered. |
| Escalation accuracy | Critical findings raised correctly and early, with zero misses found later by a client. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.