RCM QA & Claims Supervisor — Remote

Eye Care Partners Career Opportunities; Elm (PA); Remote; USD 75,000 - 105,000; Full time

Job summary

EyeCare Partners is seeking a Quality Assurance Supervisor for Claims to oversee QA across charge posting and claims management for multiple practices. The role supervises internal and offshore teams, audits claims, and uses data-driven insights to improve outcomes and regulatory compliance.

You will lead QA audits, track trends, and develop training to address gaps. Strong CPT/ICD-10 knowledge and proficiency with PowerBI and EHR/PMS systems are essential to succeed in this remote, national

Qualifications

• 3+ years of experience in charge posting and/or claims submission and reconciliation.
• Supervisory/QA-focused experience preferred.
• Strong CPT, ICD-10, and HCPCS coding knowledge.

Responsibilities

• Supervise day-to-day operations of charge posting and claims readiness teams across internal and offshore resources.
• Review and audit claims submissions, edits, clearinghouse rejections, and charge entry for quality and timely processing.
• Track, analyze, and report trends in errors, edits, and rejections; provide monthly QA and performance summaries to leadership.
• Maintain and update QA procedures, SOPs, and documentation aligned with current billing guidelines.
• Conduct training for teams on billing protocols, charge entry standards, and regulatory updates.
• Ensure compliance with HIPAA and all federal/state billing regulations.

Skills

QA auditing

Leadership

Data analysis

CPT/ICD-10

English communications

Tools

PowerBI

EHR/PMS systems

Billing platforms

Clearinghouses

Job description

EyeCare Partners is seeking a Quality Assurance Supervisor for Claims to oversee QA across charge posting and claims management for multiple practices. The role supervises internal and offshore teams, audits claims, and uses data-driven insights to improve outcomes and regulatory compliance.

You will lead QA audits, track trends, and develop training to address gaps. Strong CPT/ICD-10 knowledge and proficiency with PowerBI and EHR/PMS systems are essential to succeed in this remote, national