RCM Quality Assurance Specialist

About the role

The RCM QA Specialist owns the quality of work produced by both our billing associates and our AI agents. You will audit claim work for accuracy, evaluate outputs against the source of truth, and turn what you find into coaching, process fixes, and scalable quality checks. As our AI capabilities grow, this role becomes central to making sure both humans and machines hit the standard our clients expect.

What you'll do

• Audit claim work for action accuracy, claim-issue accuracy, and documentation quality, following our QA process
• QA agent outputs across calls, payer portals, and denial workflows, comparing logged results to the source of truth and flagging error patterns and drift
• Build and maintain QA scorecards, trackers, and dashboards in Excel or Sheets, and help shape reporting in our BI tools
• Design automated or rule-based quality checks that catch recurring errors before they require manual review
• Identify the root causes behind error trends and translate them into specific coaching for billing associates and Team Leads

What you need

• Any graduate

Good to have

• SQL
• Looker
• Tableau