RCM Training and Quality Analyst

First Roles; Houston (TX); À distance; USD 57 000 - 76 000; Plein temps

Résumé du poste

Deloitte is seeking an RCM Training and Quality Analyst in a remote role, supporting back-end revenue cycle operations across healthcare clients. You will design and implement a comprehensive QA and training program, conduct quality reviews, and deliver targeted staff education to improve accuracy and productivity.

You will lead onboarding and ongoing training, monitor payer guidelines, and align SOPs with client requirements.

Qualifications

• 3+ years of experience in back end revenue cycle operations (claims, denials, follow-up, credits, payment posting).
• 1+ years in training delivery, QA, or performance coaching within an operations environment.
• Bachelor's degree in IT, business, healthcare, or related field; or equivalent experience.
• Strong analytical skills to translate data into insights.
• Clear communicator able to lead training and provide feedback.

Responsabilités

• Lead program implementation across operations, establish workflows and documentation standards.
• Maintain and refine training and QA materials to reflect SOPs and payer requirements.
• Monitor payer guidelines to update SOPs and educate production teams.
• Deliver training, onboard new staff, and provide ongoing refresher sessions.
• Conduct in-depth quality reviews and deliver feedback to staff and teams.
• Track productivity against targets and develop interventions to improve performance.

Connaissances

RCM operations

Training delivery

Quality assurance

Data analytics

Communication

Project leadership

Deadline management

Formation

Bachelor's degree

Outils

Epic HB Resolute Billing

Description du poste

Work you’ll do

As an RCM Training and Quality Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client + Program Design and Implementation + Participate in the design of the training and QA program, including curriculum structure, quality review criteria, and scoring methodology.

• Lead implementation of the program across the operations team, establishing workflows, cadence, and documentation standards.
• Maintain and refine training and QA materials to reflect updated SOPs, payer requirements, and process changes.
• Monitor payer guidelines and requirements on ongoing basis to incorporate into SOPs and workflows and educate production team on updated guidelines and requirements.
• Training Delivery
• Lead onboarding training for new staff on account and claim processing procedures, systems, and SOPs.
• Design and deliver ongoing refresher training for tenured staff to reinforce standards, incorporate changes to payer or client requirements, and address recurring gaps.
• Quality Assurance and Feedback
• Conduct in-depth quality reviews of staff account and claim processing to measure adherence to SOPs.
• Deliver structured feedback to staff based on quality review findings, both individually and at the team level.
• Develop and deliver targeted staff education in response to quality review trends and identified skill gaps.
• Oversee staff processing of accounts and claims following quality reviews to confirm corrective action is applied.
• Performance Monitoring and Improvement
• Monitor productivity reporting at the staff and team level against established productivity and quality targets.
• Identify root causes of productivity or quality performance issues using staff monitoring and account sampling.
• Develop and deliver targeted (staff-level) and team-wide interventions to address identified performance drivers.
• Track the effectiveness of interventions and adjust training and QA approach based on outcomes.

A successful candidate would possess these skills:

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to provide clear guidance to others

Qualifications Required:

• 3+ years of experience in back end revenue cycle operations, with working knowledge of core functions (claims, denials, follow-up, credits, payment posting).
• 1+ years of experience specifically in training delivery, quality assurance, or performance coaching within an operations environment.
• Highly proficient in Epic HB Resolute Billing, with 2+ years of hands‑on experience in this environment.
• Strong analytical skills with the ability to translate quality and productivity data into actionable insights.
• Clear, confident communicator able to deliver constructive feedback and lead training sessions for varied audience sizes.
• Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
• * * *Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
• Limited immigration sponsorship may be available.

Preferred:

• Experience using Microsoft Word, Excel, and PowerPoint
• Experience supporting clinical or healthcare business operations
• Experience managing multiple projects or workstreams
• Experience preparing and delivering technical demonstrations
• Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $57,300 to $76,400. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.