RCM/Qualtiy Assurance Supervisor

Eye Care Partners Career Opportunities•Ballwin, MO

8h•Remote

About The Position

EyeCare Partners is the nation’s leading provider of clinically integrated eye care, with a national network of over 300 ophthalmologists and 700 optometrists. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, offering services that span the eye care continuum. The Supervisor for RCM QA Charge Posting & Claims is responsible for overseeing quality assurance and performance across charge entry and claims management functions for multiple practices. This role involves direct supervision of internal teams, oversight of co-sourced staff, ownership of QA auditing, workflow optimization, and process standardization. The Supervisor serves as a critical liaison between production teams and leadership, utilizing data-driven insights to improve outcomes and ensure compliance with departmental standards, payer guidelines, and regulatory requirements.

Requirements

Minimum Required: 3+ years of experience in charge posting and/or claims submission and reconciliation
Strong knowledge of CPT, ICD-10, and HCPCS coding and claims submission workflows
Proficiency with billing platforms, clearinghouses, and EHR/PMS systems (e.g., NextGen, Waystar)
Detail oriented, professional attitude, reliable
Strong time management and organizational skills to support the leadership of this function
Analytical and adaptable to evolving RCM structures and systems
Skilled in error analysis, root cause investigation, and performance coaching
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to Avoid mistakes or misinterpretations
Interpersonal skills to support customer service, functional, and teammate support needs
Able to communicate effectively in English, both verbally and in writing
Ability to effectively engage and present to diverse audiences at all levels in the organization
Capable of building strong cross-functional relationships and leading with influence
Ability for basic to intermediate problem solving, including mathematics
Intermediate to advanced computer operation
Advanced skills with Microsoft Excel, Word, PowerPoint and Outlook
Specialty knowledge of systems relating to job function
HER/PMS Platforms (e.g. NextGen, Waystar)
Other Quality Assurance Tools
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
Knowledge of payer guidelines, compliance requirements and HIPAA regulations

Nice To Haves

1-2 years in a supervisory and/or QA-focused role

Responsibilities

Supervise day-to-day operations of charge posting and claims readiness teams across internal and offshore resources.
Review and audit claims submissions, edits, clearinghouse rejections, and charge entry for quality, accuracy, and timely processing.
Perform routine QA audits with an initial 10–15% sample rate, logging errors such as CPT/ICD-10 mismatches, modifier issues, and payer submission inaccuracies.
Track, analyze, and report trends in errors, edits, and rejections; provide monthly QA and performance summaries to leadership.
Use PowerBI and other reporting tools to create dashboards with site-specific and functional QA metrics.
Coordinate with managers to address systemic training issues, identify process gaps, and implement improvements.
Participate in weekly syncs with management to align QA findings with training strategy and offshore coaching plans.
Maintain and update QA procedures, standard operating procedures (SOPs), and documentation aligned with current billing guidelines.
Resolve complex or escalated claims and charge issues, ensuring accurate documentation and communication.
Conduct training for teams on billing protocols, charge entry standards, and regulatory updates.
Ensure compliance with HIPAA and all federal/state billing regulations.
Encourage cross-functional communication and support the transition to a more standardized and functional model across RCM.
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
Performs other duties that may be necessary or in the best interest of the organization.
Direct supervision of charge posting and claims production staff.
Oversight of QA auditing for on and offshore production teams.
Responsible for audit accuracy, performance coaching, escalation handling, and team development.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees, planning, assigning, and directing work; appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.