RCM/OPH Quality Assurance Supervisor-Payment Posting
Core
Oversees payment posting performance, quality assurance, and process optimization for insurance and patient payments across multiple ophthalmology practices.
Role type
Senior RCM Quality Assurance Supervisor
Builds
Accurate financial reporting and timely payment posting for a national network of eye care providers
Domain
Healthcare Revenue Cycle Management (RCM)
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Payment posting protocols, denial handling, reconciliation, billing compliance, QA audit execution, root-cause analysis, PowerBI, SOP development, HIPAA compliance, staff training, offshore team management
Preferred skills
Supervisory experience, QA-focused role experience, EHR/PMS platform knowledge (NextGen, Waystar), state/federal regulations knowledge
Technologies
PowerBI, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, NextGen, Waystar
Responsibilities
Supervise payment posting staff and offshore partners; Perform QA audits and monitor error types; Log and trend QA errors with monthly reporting; Reconcile EOBs, deposits, and unapplied cash; Maintain and update SOPs and training documentation; Coordinate training needs and system updates; Ensure adherence to HIPAA and payer regulations.
Seniority
Senior, hands-on IC with supervisory duties