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A
RCM Quality Assurance Specialist
Amperos HealthRCM QA Specialist auditing the quality of billing associates and AI agents work for a healthcare startup. Focused on accuracy, evaluation, and QA process improvements.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
QA processclaim work auditingdata analysisautomated quality checksroot cause analysisKPI trackingExcelGoogle SheetsBI toolsquality standards documentation
Soft Skills
detail-orientedorganizedpattern-finderstructured feedbackcoachingcommunicationproblem-solvingcollaborationcritical thinkingadaptability