Specialist I, QA and Learning

Knowtion Health

Specialist I, QA ensuring quality performance in RCM at Knowtion Health. Conducting audits, training, and mentoring of staff to meet quality standards in a dynamic healthcare environment.

Posted 5/27/2026full-timeRemote • Alabama, Arizona, Florida, Idaho, Kansas, Maine, Mississippi, Missouri, Montana, New Mexico, North Carolina, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

review calls, correspondence, and database entries to ensure that each team member's performance meets Knowtion Health quality standards
recommend additional training to Service Delivery when performance review indicates it is needed
conduct routine and targeted quality audits on RCM tasks such as claim submission, denial management, account resolution, and payment posting
perform root cause analysis on errors and recurring issues to help reduce rework and improve productivity
prepare professional review documents analyzing each team member's verbal, written and database proficiency
demonstrate expertise with Artiva QA review encounters and KTech IQC applications as necessary to review accounts thoroughly
identify and communicate patterns and trends in team member work to recommend additional training to help the team members meet or exceed quality standards established by Knowtion Health
provide 1:1 training opportunity to impart knowledge & experience, evaluate skills, guide, mentor, direct, and train internal employees to become confident and proficient in their roles and help them achieve LOB specific certification
administer current training material and courses

Requirements

What you’ll need

2 years experience working for Knowtion Health or RCM
Strong understanding of the full RCM back-end workflow (authorizations, coding, billing, denials, and AR follow-up)
Extensive experience with claims resolution and implementation of client Standard Operating Procedures (SOPs)

Benefits

Comp & perks

medical
dental
vision
life insurance
short term disability
long term disability
paid holidays
401k
generous PTO policy

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

quality auditsroot cause analysisclaims resolutionpayment postingdenial managementaccount resolutionRCM workflowSOP implementationtraining material administrationdatabase proficiency

Soft Skills

mentoringcommunicationevaluationguidancetraininganalysisrecommendationpattern identificationteam collaborationproductivity improvement

Certifications

LOB specific certification