We’re seeking an experienced Revenue Cycle Management (RCM) Quality Assurance Contractor to support our healthcare operations team. This fully remote role requires deep, hands-on experience across RCM workflows—including verification of benefits (VOB), prior authorizations, and claims—and a strong track record in quality assurance or auditing functions within healthcare.

About the Role:

• Conduct QA reviews and audits of RCM workflows (VOB, prior authorization, claims submission, and follow-up)

• Identify errors, trends, and compliance risks, and provide actionable insights

• Maintain detailed QA documentation and support process tracking and improvement

• Collaborate with cross-functional teams to implement changes based on audit findings

• Contribute to the development and refinement of SOPs, QA protocols, and reporting tools

About You:

• 3+ years of hands-on RCM experience, including VOB, prior auth, and claims

• Previous experience in QA, auditing, or training within a healthcare operations setting

• In-depth knowledge of payer rules, claims workflows, and revenue cycle operations

• Strong attention to detail, excellent documentation skills, and a proactive mindset

• U.S.-based and authorized to work in the U.S.

Preferred Qualifications:

• Background in tech-enabled healthcare or high-growth startups

• Familiarity with HIPAA and healthcare compliance standards

• Experience in MSO, DSO, or specialty medical billing environments