Quality Assurance Supervisor, Payment-Retina

Eye Care Partners Career Opportunities•Ballwin, MO

1d•Remote

About The Position

The Supervisor for RCM QA (Payment Posting) is responsible for the oversight of payment posting performance, quality assurance, and process optimization across multiple practices, including vendor-supported and offshore teams. This role ensures timely, accurate posting of insurance and patient payments, reconciliations, and financial reporting. The Supervisor focuses on daily QA audits, workflow improvements, training programs, and trend analysis, acting as a critical liaison between production teams and RCM leadership to promote standardization and data-driven decisions.

Requirements

Minimum Required: 3+ years of experience in payment posting
Strong knowledge of payment posting protocols, denial handling, reconciliation, and billing compliance
Analytical thinker with ability to interpret QA data and drive process improvements
Detail oriented, professional attitude, reliable
Strong time management and organizational skills to support the leadership of this function
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 computer operation
Proficiency with Microsoft Excel, Word, PowerPoint and Outlook
Specialty knowledge of systems relating to job function
EHR/PMS Platforms (e.g. NextGen, Waystar)
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
Knowledge of payer guidelines and HIPAA regulations

Nice To Haves

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

Responsibilities

Supervise and support the day-to-day activities of payment posting staff and offshore partners.
Ensure accurate and timely posting of all payment types, adjustments, denials, and patient responsibilities in alignment with organizational and payer standards.
Perform QA audits (10–15% sample minimum initially) and monitor error types such as over/under posting, payer mismatches, and incorrect denial assignments.
Log and trend QA errors, providing monthly reporting and root-cause analysis to leadership.
Use of PowerBI and other tools to develop dashboards reflecting site-specific and function-specific metrics.
Coordinate with RCM managers and supervisors to align training needs, system updates, and error remediation.
Establish and maintain structured feedback loops with production teams and escalation protocols for recurring or critical issues.
Reconcile EOBs, deposits, and unapplied cash; address complex discrepancies and escalate when necessary.
Maintain and update SOPs, QA workflows, audit logs, and training documentation.
Lead onboarding and continuous training of internal and offshore staff on QA expectations and posting procedures.
Ensure adherence to HIPAA, payer, and regulatory compliance standards.
Promote collaboration across departments and encourage staff engagement and professional growth.
Assist with standardization efforts across ECP and scale QA resources.
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.