Accounts Receivable Billing QA Specialist

Brault; San Dimas (CA); On-site; USD 60,000 - 90,000; Full time

Job summary

Brault is seeking a Quality Assurance Auditor in California to conduct detailed audits of billing activities within the billing software system, ensuring accuracy, completeness, and compliance with payer rules. The role involves reviewing claim follow-up, denials resolution, and special projects; identifying trends and opportunities to improve efficiency and regulatory adherence.

You will report audit findings to leadership and collaborate with billing staff to refine policies, training, and

Qualifications

• High School Diploma required.
• 3–4 years revenue cycle experience in healthcare billing.
• Knowledge of Medicare and payer guidelines.
• Familiarity with HIPAA regulations and privacy practices.
• Proficiency with billing software and EHR systems.

Responsibilities

• Audit daily billing activities for accuracy and completeness.
• Review claim submissions, follow-up, collections, and denials.
• Identify errors, trends, and opportunities for reimbursement improvements.
• Provide detailed audit findings and recommendations to leadership.
• Monitor special projects and programs (e.g., AB75) for compliance.
• Collaborate with leads to refine policies and workflows based on audits.
• Assist training of staff on documentation standards and payer rules.
• Prepare periodic audit reports on performance trends.
• Stay current with industry regulations and payer policies.
• Support internal/external audits by gathering documentation.

Skills

Fast-paced environment

Organizational skills

Attention to detail

Analytical skills

HIPAA compliance

Communication skills

Independent worker

Time management

Customer service

Education

High School Diploma

Tools

Billing software

EHR systems

MS Office

Excel

Job description

Brault is seeking a Quality Assurance Auditor in California to conduct detailed audits of billing activities within the billing software system, ensuring accuracy, completeness, and compliance with payer rules. The role involves reviewing claim follow-up, denials resolution, and special projects; identifying trends and opportunities to improve efficiency and regulatory adherence.

You will report audit findings to leadership and collaborate with billing staff to refine policies, training, and