Results-driven Quality Analyst with over 5 years of experience in the US healthcare BPO industry, specializing in Revenue Cycle Management (RCM), medical claims processing, customer service, and quality assurance. Proven expertise in auditing front-office and back-office operations, identifying process improvement opportunities, ensuring compliance with client and regulatory standards, and delivering actionable feedback that enhances performance and accuracy. Experienced in medical billing, accounts receivable, denial management, credit balance resolution, and healthcare documentation while maintaining HIPAA compliance. Recognized for strong analytical skills, attention to detail, problem-solving abilities, and a commitment to continuous improvement. Adept at collaborating with cross-functional teams to drive operational excellence and achieve high-quality service outcomes.
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