About the role

  • RCM System & Automation QA Manager ensuring quality across automation initiatives for Revenue Cycle Management. Collaborating with IT and operations to improve workflow efficiency and compliance.

Responsibilities

  • Ensure the quality of system improvements and automation initiatives for RCM operations.
  • Completes and monitors systems QA and automation activities to ensure alignment with company standards.
  • Completes and oversees QA testing of internal systems to ensure functionality, accuracy and regulatory compliance.
  • Continually QA automation activities to ensure compliance with NSM requirements and payer standards.
  • Partners with IT and developers to test and implement automation and process improvement projects.
  • Analyze system QA data to identify trends, root causes, and opportunities for improvement in existing systems.
  • Establish, document, and maintain protocols, test plans, and audit records.
  • Prepare and present detailed QA systems reports with actionable insights for leadership review.
  • Monitor automation performance post-deployment and coordinate resolution of system issues.
  • Coordinates with training and communication teams to support new system functionality and automation tools.
  • Review findings of QA on new and existing system enhancements and automation with RCM leadership to strengthen process understanding and performance consistency.
  • Foster a culture of continuous improvement, quality awareness and accountability.
  • Serve as a liaison between RCM, IT, Compliance, Training, and Operations to ensure cross-departmental alignment.
  • Support development and adherence to policies, procedures and payer regulations.
  • Participate in strategic planning discussions related to technology, quality, and operational excellence.

Requirements

  • High School Diploma or G.E.D. Required
  • College Degree Preferred
  • Drug Test
  • Knowledge of government payer regulations desired
  • Extensive working knowledge of Funding, Billing and Collections for Medicare, Medicaid and Commercial payers
  • Good oral, written and communication skills
  • Working knowledge of Microsoft suite products
  • Proven record of excellent people skills including good communication and inter-personal skills
  • Strong Team Player
  • Strong organizational skills and attention to detail
  • Ability to effectively present information and respond to questions from a variety of staff
  • Basic understanding of and willingness to learn and adopt professional and industry business standards/needs.

Benefits

  • 401k
  • company paid Long Term Disability
  • tuition reimbursement

Job title

RCM Systems & Automation QA Manager

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

High School Diploma

Location requirements

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