Remote RCM QA Supervisor – Claims & Posting

Eye Care Partners Career Opportunities; Alabama; Remote; USD 70,000 - 95,000; Full time

Job summary

EyeCare Partners Career Opportunities seeks a Quality Assurance Supervisor- Claims to oversee QA for charge posting and claims management across internal and offshore teams. You will audit submissions, track trends, and drive process improvements while ensuring compliance with payer guidelines and regulations.

Remote work options available for qualified candidates. You will lead training, maintain SOPs, and collaborate with leadership to align QA findings with training strategies.

Qualifications

• Minimum 3+ years of experience in charge posting and/or claims submission and reconciliation.
• Preferred 1–2 years in a supervisory and/or QA-focused role.
• Strong knowledge of CPT, ICD-10, and HCPCS coding and claims submission workflows.
• Proficiency with billing platforms, clearinghouses, and EHR/PMS systems.
• Excellent time management and organizational skills.

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, accuracy, and timely processing.
• Perform routine QA audits with an initial 10-15% sample rate, logging errors such as CPT/ICD-10 mismatches, modifier issues, and payer submission inaccuracies.
• Track, analyze, and report trends in errors, edits, and rejections; provide monthly QA and performance summaries to leadership.
• Use PowerBI and other reporting tools to create dashboards with site-specific and functional QA metrics.
• Coordinate with managers to address systemic training issues, identify process gaps, and implement improvements.
• Participate in weekly syncs with management to align QA findings with training strategy and offshore coaching plans.
• Maintain and update QA procedures, SOPs, and documentation aligned with current billing guidelines.
• Resolve complex or escalated claims and charge issues, ensuring accurate documentation and communication.
• Conduct training for teams on billing protocols, charge entry standards, and regulatory updates.
• Ensure compliance with HIPAA and all federal/state billing regulations.
• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

Skills

3+ years experience

Supervisory experience

QA-focused

Analytical skills

English communication

Tools

PowerBI

Billing platforms

EHR/PMS systems

Job description

EyeCare Partners Career Opportunities seeks a Quality Assurance Supervisor- Claims to oversee QA for charge posting and claims management across internal and offshore teams. You will audit submissions, track trends, and drive process improvements while ensuring compliance with payer guidelines and regulations.

Remote work options available for qualified candidates. You will lead training, maintain SOPs, and collaborate with leadership to align QA findings with training strategies.