RCM Quality Assurance Specialist

Job not on LinkedIn

🕒 June 8

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Amperos Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $4.2M Seed on 2025-07

Healthcare Insurance • Artificial Intelligence • SaaS

Amperos Health is a healthcare revenue recovery company that uses AI-driven automation and specialist support to manage insurance denials and unpaid claims end-to-end for outpatient practices and RCM teams. They provide full-service collections or targeted automation that integrates with existing practice management systems, applying denial-specific AI playbooks to resubmit claims, file appeals, and escalate complex denials—delivering higher recovery rates and lower cost-to-collect versus traditional vendors.

📋 Description

• 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

• 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

• Health insurance • Flexible working hours