RCM/OPH Quality Assurance Supervisor-Payment Posting

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.

About the Role

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.

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 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.
• Adhere to all safety policies and procedures while supporting a culture of high quality and great customer service.
• Perform other duties that may be necessary or in the best interest of the organization.

Requirements

• Experience: Minimum 3+ years of experience in payment posting; 1-2 years in a supervisory and/or QA-focused role preferred.
• Knowledge: Strong understanding of payment posting protocols, denial handling, reconciliation, and billing compliance.
• Skills:
  • Analytical thinking with ability to interpret QA data and drive process improvements.
  • Detail-oriented with a professional attitude and reliability.
  • Strong time management and organizational skills.
  • Effective communication in English, both verbally and in writing.
  • Interpersonal skills to support customer service, functional, and teammate needs.
  • Ability to engage and present to diverse audiences at all organizational levels.
  • Basic to intermediate problem-solving skills, including mathematics.
  • Proficiency with Microsoft Excel, Word, PowerPoint, and Outlook.
  • Knowledge of EHR/PMS platforms (e.g., NextGen, Waystar).
  • Understanding of state and federal regulations, including HIPAA and payer guidelines.

Supervisory Responsibilities

• Direct supervision of payment posting staff and QA oversight of offshore production teams.
• Responsible for QA audit processes, performance monitoring, training, and corrective action.
• Reports team metrics and staffing insights to RCM leadership on a regular cadence.
• Carries out supervisory responsibilities in accordance with organizational policies and applicable laws, including interviewing, hiring, training, planning, assigning work, appraising performance, and addressing complaints.

Location & Work Environment

Must reside in one of the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA.

This is a remote role requiring a HIPAA-compliant home office environment. Ability to work varying shifts, including early mornings/evenings, to attend meetings and support cross-training initiatives.

Works in a normal office environment during business hours. May be exposed to blood or bodily fluids and various cleaning supplies.

Equipment

• Computer, fax, copier, printer, scanner, and telephone.
• Proficiency with Microsoft applications required.
• Personal Protective Equipment (PPE) follows standard precautions.