Billing Rules Associate
Core
Testing and validation of billing rules across practice-specific, federal health, and payer-specific workflows to ensure alignment with business requirements before production.
Role type
Billing Rules Associate (QA/Validation)
Builds
Pre-production billing rule configurations and test evidence for healthcare workflows
Domain
Healthcare operations and billing systems
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Billing rules review, validation, and testing; Healthcare workflows knowledge (FQHC, federal, payer-specific); Requirement analysis; Test execution and documentation; Defect tracking and retesting; Cross-functional coordination
Preferred skills
Testing or workflow tool usage; AI-enabled tool familiarity
Responsibilities
Review billing rule requirements and confirm accuracy in test scenarios; Execute billing rules testing in pre-production environments; Validate rule designer configurations against business rules; Coordinate with stakeholders to clarify requirements and review results; Identify gaps between requirements and outcomes; Track defects and confirm fixes; Prepare test evidence and sign-off documentation
Seniority
Individual Contributor, 0-5 years experience