RCM Training and Quality Analyst

First Roles; San Antonio (TX); Remote; USD 57,000 - 76,000; Full time

Job summary

Deloitte seeks an RCM Training and Quality Analyst to deliver back-end revenue cycle services, including billing, claims, denials, and posting, while designing and implementing training and QA programs. You will lead onboarding and ongoing education for staff, conduct quality reviews, and drive improvements based on data insights.

The role requires 3+ years in RCM operations, 1+ years in training/QA, and experience with Epic HB Resolute Billing.

Qualifications

• 3+ years in back end revenue cycle operations (claims, denials, follow-up, credits, posting).
• 1+ years in training delivery, QA, or performance coaching in operations.
• Experience with Epic HB Resolute Billing (2+ years).
• Strong analytical skills to translate data into insights.
• Clear, confident communicator for training sessions and feedback.
• Willingness to travel ~10% as required.

Responsibilities

• Deliver Back End RCM services: Billing, Claims Submission, A/R Follow-up, Denials Management, Payment Posting, Credits/Refunds.
• Design and implement training and QA programs; develop curriculum structure and scoring.
• Lead program rollout across operations, establish workflows and documentation.
• Refine training/QA materials for updated SOPs and payer rules.
• Deliver onboarding and ongoing refresher training for staff.
• Perform in-depth quality reviews and provide structured feedback.
• Monitor productivity and identify performance drivers; implement interventions.

Skills

Independent work

Team collaboration

Communication skills

Attention to detail

Project leadership

Prioritization

Interpersonal skills

Deadline oriented

Guidance to others

Education

Bachelor's degree or equivalent experience

Job description

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.