Payment Quality Assurance Specialist

JOB DESCRIPTION

Position: Payment Quality Assurance Specialist

Salary Range: 25.00-30.00 per hr

Reporting To: FMS Billing Supervisor

Work Type: Remote (Must be based in California)

POSITION SUMMARY

Payment Quality Assurance Specialist plays a vital role in supporting the Financial Management Services (FMS) program by managing the daily operations of the payment posting team. This position ensures the accurate and timely processing of payments maintains the integrity of FMS authorizations and resolves discrepancies to enhance operational efficiency across departments. Reporting to the FMS Supervisor Payment Quality Assurance Specialist combines hands-on payment posting duties with leadership responsibilities thriving in fast-paced environments and consistently delivering high-quality results through collaboration and attention to detail.

QUALIFICATIONS

• 1-2 years experience in a lead or supervisory position preferred.

• Proven ability to lead supervise mentor and develop team members.

• Strong communication and problem-solving skills.

• Skilled in identifying posting errors and implementing effective process improvements.

• Excellent organizational prioritization and analytical abilities.

• Comfortable working with large datasets and making sound decisions.

• Capable of working independently and collaboratively with management and peers.

• Effective multitasking and time management to meet deadlines.

• Proficient in Microsoft Word Excel and Outlook (or equivalent email applications).

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

• Train and mentor new and existing staff on payment posting procedures system updates and best practices.

• Lead and oversee the daily operations of the FMS payments ensuring timely and accurate posting of payments across all accounts.

• Monitor and audit payment entries to ensure payments are within authorized amounts.

• Serve as a subject matter expert for FMS payment posting processes providing guidance and support to staff and resolving complex posting issues.

• Analyze patient accounts to identify and rectify incomplete or incorrect data.

• Collaborate with billing collections and customer service team to address discrepancies improve workflows and enhance overall payment accuracy and streamline workflows.

• Generate audit and analyze reports to track posting performance identify trends and recommend process improvements and correct discrepancies in payments or missing data.

• Communicate effectively with internal departments and external partners to resolve payment-related inquiries and ensure smooth operations.

• Document QA findings and prepare reports for management review.

• Demonstrate consistent attendance and punctuality to support smooth business operations.

• Perform additional duties as assigned to support departmental goals.

PHYSICAL REQUIREMENTS:

• Stand sit talk hear reach stoop kneel and use of hands and fingers to operate computer telephone and keyboard on a frequent basis (up to 75% of the time).

• Close vision requirements due to computer work.

• Light to moderate lifting may be required (up to 25lbs).