Remote RCM QA Supervisor | Claims & Charge Entry Lead

Eye Care Partners Career Opportunities; Pennsylvania; On-site; USD 85,000 - 105,000; Full time

Job summary

EyeCare Partners seeks a Quality Assurance Supervisor- Claims to oversee QA across charge posting and claims management for multiple practices. You will supervise teams, audit submissions, and drive process improvements in collaboration with leadership.

This role requires 3+ years in charge posting/claims, strong CPT/ICD-10/HCPCS knowledge, proficiency with billing platforms and PowerBI, and excellent English communication. Remote-friendly with HIPAA compliance.

Qualifications

• Minimum 3+ years of experience in charge posting and/or claims submission and reconciliation.
• Supervisory and/or QA-focused experience preferred (1–2 years).
• Strong CPT, ICD-10, HCPCS coding knowledge and claims submission workflows.

Responsibilities

• Supervise day-to-day operations of charge posting and claims readiness teams across internal and offshore resources.
• Review and audit claims submissions, edits, rejections, and charge entry for quality and timely processing.
• Perform QA audits with an initial 10-15% sample rate and log errors.
• Track, analyze, and report trends in errors, edits, and rejections to leadership.
• Create dashboards and QA metrics using PowerBI or similar tools.
• Coordinate with managers to address training gaps and process improvements.
• Maintain QA SOPs and documentation aligned with billing guidelines.
• Ensure HIPAA compliance and regulatory requirements.

Skills

QA leadership

CPT/ICD-10/HCPCS knowledge

Claims workflows

PowerBI proficiency

Analytical thinking

Time management

English communication

Cross-functional collaboration

Tools

Billing platforms

Clearinghouses

EHR/PMS systems

PowerBI

Job description

EyeCare Partners seeks a Quality Assurance Supervisor- Claims to oversee QA across charge posting and claims management for multiple practices. You will supervise teams, audit submissions, and drive process improvements in collaboration with leadership.

This role requires 3+ years in charge posting/claims, strong CPT/ICD-10/HCPCS knowledge, proficiency with billing platforms and PowerBI, and excellent English communication. Remote-friendly with HIPAA compliance.