RCM/OPH Quality Assurance Supervisor-Payment Posting

RCM 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. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.

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.

· 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.

· Minimum Required: 3+ years of experience in payment posting

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

· 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

o Able to communicate effectively in English, both verbally and in writing

o Ability to effectively engage and present to diverse audiences at all levels in the organization

o Capable of building strong cross-functional relationships and leading with influence

· Ability for basic to intermediate problem solving, including mathematics

· Intermediate computer operation

o Proficiency with Microsoft Excel, Word, PowerPoint and Outlook

· Specialty knowledge of systems relating to job function

o 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

· 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 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.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

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

The equipment typically used in this position is a computer, fax, copier, printer, scanner and telephone. Must have good working knowledge of Microsoft applications. Other equipment may be used as needed. Personal Protective Equipment (PPE) follows standard precautions using personal protective equipment.