Accounts Receivable Quality Assurance Auditor

Brault

. Audit daily work completed by billing staff, including claim submissions, follow-up activities, and collection efforts .

Posted 11/10/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $24 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge of medical billing and accounts receivable processes, including compliance with HIPAA regulations and payer guidelines. Proficient in auditing techniques and skilled in providing constructive feedback to enhance operational efficiency.

Highest-signal resume keywords

Medical Billing KnowledgeAccounts Receivable ProcessesAuditing TechniquesBilling Software ProficiencyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim Lifecycle ManagementDenial ManagementFinancial Record ReviewAnalytical SkillsDocumentation StandardsInsurance Guidelines KnowledgeQuality Assurance InitiativesCompliance AuditsEHR Systems ProficiencyMS Office Proficiency

Soft Skills

Strong Organizational SkillsAttention to DetailEffective Communication SkillsTime Management SkillsCustomer Service Skills

Tools & Technologies

Billing SoftwareElectronic Health Record SystemsCross Workflow

Industry Keywords

Healthcare Revenue CyclePayer PoliciesGovernment RegulationsAudit FindingsOperational Efficiency

About the role

Key responsibilities & impact

Audit daily work completed by billing staff, including claim submissions, follow-up activities, and collection efforts
Review account documentation, actions taken, and billing outcomes within the billing system to ensure accuracy, completeness, and compliance
Identify errors, discrepancies, and trends that may impact reimbursement, operational efficiency, or regulatory compliance
Provide detailed audit findings, feedback, and recommendations to billing staff and leadership
Monitor, address, and audit special projects and programs, including credit card chargebacks, high-priority payer follow-up, and AB75
Collaborate with team leads, supervisors, and managers to develop, implement, and refine policies, procedures, and workflows based on audit results
Assist with training and education of staff on documentation standards, payer requirements, billing procedures, and industry best practices
Participate in quality assurance initiatives and prepare reports for leadership summarizing audit results, performance trends, and improvement opportunities
Maintain current knowledge of industry regulations, payer policies, and billing software updates applicable to medical billing and accounts receivable
Support internal and external audit requests by gathering documentation, performing reviews, and responding to audit inquiries
Perform manual tasks within Cross Workflow, including AR Support Requests and AR Follow-Up Requests
Address high-priority Patient Services emails related to invoices involving legal representation and time-sensitive deadlines
Conduct compliance audits as assigned or requested

Requirements

What you’ll need

Ability to work in a fast-paced environment while maintaining accuracy and focus
Strong organizational skills to ensure deadlines are met
Strong knowledge of medical billing and accounts receivable processes, including claim lifecycle, denials, and payer rules
Proficient in using billing software and electronic health record (EHR) systems
High attention to detail and accuracy in reviewing documentation and financial records
Analytical skills with the ability to detect patterns, discrepancies, and areas for improvement
Understanding and adhering to HIPAA and other government and healthcare industry regulations
Strong written and verbal communication skills to provide constructive feedback and report findings
Ability to work independently, manage multiple tasks, and prioritize responsibilities effectively
Extensive knowledge of insurance guidelines including Medicare and other government payers, private, self-insurance, and managed-care plans
Familiarity with auditing techniques and principles within a healthcare revenue cycle setting
Knowledge of MS Office including Outlook, Word and Excel
Excellent verbal and written communication skills
Excellent attention to detail and time management skills
Excellent customer service skills
High School Diploma
Minimum 3-4 years revenue cycle experience