RCM Quality Assurance Specialist

Posted 6 Hours Ago
Be an Early Applicant
Hiring Remotely in India
Remote
Mid level
Artificial Intelligence • Healthtech • Software
The Role
Audit claim and denial work for accuracy across human and AI outputs, build and maintain QA scorecards and dashboards, design rule-based quality checks, identify root causes and coach billing teams, and surface reproducible AI error patterns to Product and Engineering.
Summary Generated by Built In
About Amperos Health

Amperos Health is healthcare's first AI-native denial management and revenue recovery platform. Our agentic AI works claims end-to-end, from portal follow-ups and payor calls to appeals and medical records, so providers can resolve more denials, recover more revenue, and focus on what matters most: serving patients.

We just closed a $16M Series A led by Bessemer Venture Partners, with continued participation from Uncork Capital and Neo. We're still small, still early, and going after a $260B+ problem that's only getting worse. If you want to work on hard problems that matter, alongside people who care deeply about the mission (and each other), we'd love to meet you.

About the Role

The RCM QA Specialist owns the quality of work produced by both our billing associates and our AI agents. You will audit claim work for accuracy, evaluate outputs against the source of truth, and turn what you find into coaching, process fixes, and scalable quality checks. As our AI capabilities grow, this role becomes central to making sure both humans and machines hit the standard our clients expect.

What You'll Do
  • 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

What We're Looking For
  • 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)

Nice to Have
  • SQL or experience querying claim data directly

  • Experience with BI or analytics tools (Looker, Tableau, Metabase)

  • Experience building QA automation or rule-based quality checks

  • Exposure to ModMed, NextGen, Athenahealth, or similar PM systems

Our Values
  • Lead with Empathy - Great products and teams are built on empathy—whether for our customers, users, or team members. We take the time to walk in others' shoes, listen actively, and truly understand their challenges, needs, and perspectives.

  • Humbly Ambitious - We combine humility with ambition. No task is beneath us, and no challenge too big. Greatness comes from being willing to do whatever it takes, while having the courage to take bold risks and learn from failures.

  • Radical Agency - Own your domain. Drive initiatives with autonomy and accountability. Think deeply, communicate with the team, and maintain a bias for action.

Skills Required

  • 4+ years in RCM, AR follow-up, or denial management
  • Advanced Excel or Google Sheets skills (pivot tables, lookups, conditional logic)
  • Comfortable working with data and building/maintaining QA scorecards and trackers
  • Ability to audit claim work for action accuracy, issue accuracy, and documentation quality
  • Able to evaluate AI-generated work and provide structured, actionable feedback
  • Detail-oriented and organized, able to document QA standards clearly
  • Able to work US hours (9am to 6pm ET)
  • SQL or experience querying claim data directly
  • Experience with BI or analytics tools (Looker, Tableau, Metabase)
  • Experience building QA automation or rule-based quality checks
  • Exposure to PM systems (ModMed, NextGen, Athenahealth)
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The Company
HQ: New York City, New York
15 Employees
Year Founded: 2023

What We Do

We’re on a mission to power back-office operations, supercharge admins in their workflows, and spark legacy healthcare software with AI-first experiences. Our team has seen first-hand how ever-expanding burdens imposed by insurance have made running and growing a medical practice increasingly difficult. With growing prior authorization requirements and claim denial rates, providers are seeing lower revenue, higher staff burnout and higher costs to collect revenue, all while patient outcomes suffer. Our vision is that each provider has a suite of AI co-workers that supercharge its staff by dealing with all the workflows related to insurance, meaning providers can spend less time on administrative tasks and more on what healthcare is meant to be about: patient care. Interested in learning more? You can set up a time to chat with us here: https://calendly.com/mmiernowski/30min

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