AR QA Auditor: Billing Compliance & Denials Review

Brault; San Dimas, Northern (CA, KY); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Brault in San Dimas, CA seeks a Quality Assurance Auditor to conduct detailed audits of billing activities, review claim follow-up and denials, and ensure compliance with internal protocols and payer regulations.

The role identifies trends, improves accuracy, and enhances the efficiency of billing and collections. The auditor will report findings, support training, and contribute to policy improvements.

Qualifications

• High School Diploma is required.
• 3–4 years revenue cycle experience is required.
• Strong knowledge of medical billing and accounts receivable processes.
• Familiarity with HIPAA and healthcare regulations.
• Proficiency with billing software and EHR systems.
• Excellent verbal and written communication skills.
• Ability to work independently and manage multiple tasks.

Responsibilities

• Audit daily billing activities, including submissions, follow-up, and collections.
• Review documentation and outcomes for accuracy and compliance.
• Identify errors, discrepancies, and trends affecting reimbursement and compliance.
• Provide detailed audit findings and recommendations to staff and leadership.
• Monitor special projects and programs to ensure adherence to billing protocols.
• Contribute to policy and workflow improvements based on audit results.
• Assist in staff training on documentation standards and payer requirements.
• Prepare reports summarizing audit results and performance trends.
• Maintain knowledge of industry regulations and billing software updates.
• Support internal and external audit requests as needed.

Skills

Attention to detail

HIPAA knowledge

Analytical skills

Strong communication

Independence

Time management

Team collaboration

Regulatory awareness

Education

High School Diploma

Tools

Billing software

EHR systems

MS Office (Outlook, Word, Excel)

Job description

Brault in San Dimas, CA seeks a Quality Assurance Auditor to conduct detailed audits of billing activities, review claim follow-up and denials, and ensure compliance with internal protocols and payer regulations.

The role identifies trends, improves accuracy, and enhances the efficiency of billing and collections. The auditor will report findings, support training, and contribute to policy improvements.