RCM Quality Assurance Specialist

Amperos Health

RCM QA Specialist auditing the quality of billing associates and AI agents work for a healthcare startup. Focused on accuracy, evaluation, and QA process improvements.

Posted 6/8/2026full-timeRemote • 🇮🇳 IndiaMid-LevelSeniorWebsite

ATS Keywords

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Hard Skills

QA processclaim work auditingdata analysisautomated quality checksroot cause analysisKPI trackingExcelGoogle SheetsBI toolsquality standards documentation

Soft Skills

detail-orientedorganizedpattern-finderstructured feedbackcoachingcommunicationproblem-solvingcollaborationcritical thinkingadaptability

Tools & Technologies

ExcelGoogle SheetsBI toolspayer portalsQA scorecardstrackersdashboardsAI evaluation toolsclaim management systemsdenial management systems

Industry Keywords

RCMAR follow-updenial managementQA standardsquality KPIscritical-error-free ratebilling associatesTeam Leadserror patternsdocumentation quality

About the role

Key responsibilities & impact

Audit claim work for action accuracy, claim-issue accuracy, and documentation quality, following our QA process
QA agent outputs across calls, payer portals, and denial workflows, comparing logged results to the source of truth and flagging error patterns and drift
Build and maintain QA scorecards, trackers, and dashboards in Excel or Sheets, and help shape reporting in our BI tools
Design automated or rule-based quality checks that catch recurring errors before they require manual review
Identify the root causes behind error trends and translate them into specific coaching for billing associates and Team Leads
Surface AI error patterns to Product and Engineering with reproducible, claim-level detail
Calibrate QA standards across reviewers, maintain QA rubrics, and support our critical-error-free rate target
Track appeal and overturn outcomes and other quality KPIs

Requirements

What you’ll need

4+ years in RCM, AR follow-up, or denial management with a demonstrated record of high accuracy and strong production
Advanced Excel or Google Sheets skills (pivot tables, lookups, conditional logic) and genuine comfort working with data
A pattern-finder who looks for root cause, not just pass or fail
Detail-oriented and organized, able to document quality standards clearly
Comfortable evaluating AI-generated work and giving structured, actionable feedback
Able to work US hours (9am to 6pm ET)

Benefits

Comp & perks

Health insurance
Flexible working hours