RCM Quality Assurance Analyst, Insurance Verification

Position Overview :

The RCM QA Analyst will be responsible for conducting audits across revenue cycle processes to ensure accuracy, consistency, and compliance. This role supports the success of a newly formed offshore team by providing structured quality feedback and identifying opportunities for process and performance improvements.  The analyst is expected to be cross-functional across RCM operations (billing, A / R, collections, etc.), and will contribute directly to ensuring high-quality output from offshore partners. Feedback from audits will be routed to department managers for formal coaching and development.

Key Responsibilities

Perform audits on revenue cycle tasks and accounts to ensure accuracy and adherence to policies.

• Participate in weekly, monthly, and quarterly audit cycles.
• Document audit findings and maintain accuracy scores in shared tracking tools (initially Excel-based).
• Collaborate with department managers to route and deliver feedback to team members.
• Contribute to QA scorecards and help define audit metrics over time.
• Remain up to date on RCM processes and maintain a working knowledge of all related systems.
• Participate in calibration and audit consistency discussions.
• Support ongoing training efforts by identifying knowledge gaps or recurring issues. Help beta test or onboard future QA tools (e.g., Kaleidoscope, Advantx).

Required Skills

Qualifications

Required Experience

Qualifications