Job Description
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
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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