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Billing Quality Assurance Jobs (NOW HIRING)

Innovative Systems

Billing QA Specialist

Mitchell, SD · On-site

$19.50 - $26.25/hr

Innovative Systems is seeking a Billing QA Specialist to join their team. In this role, you will ensure the quality, usability, and reliability of the eLation product suite by collaborating with ...

Premier Health

BILLING QA COMPLIANCE SPEC

Moraine, OH · On-site

$15.75 - $21.75/hr

He/she monitors for quality of billing, and reviews accounts for appropriate documentation to validate billing information. This employee is also responsible for follow up on outstanding assigned ...

Premier Health

BILLING QA COMPLIANCE SPEC

Moraine, OH · On-site

$15.75 - $21.75/hr

He/she monitors for quality of billing, and reviews accounts for appropriate documentation to validate billing information. This employee is also responsible for follow up on outstanding assigned ...

Premier Health

BILLING QA COMPLIANCE SPEC

Moraine, OH · On-site

$15.75 - $21.75/hr

He/she monitors for quality of billing, and reviews accounts for appropriate documentation to validate billing information. This employee is also responsible for follow up on outstanding assigned ...

3M HEALTHCARE

Quality Assurance Auditor

Richmond, VA · On-site

Additionally, the Quality Assurance Auditor III provides finished audit reports to management, plans and delivers billable quality services for clients and projects, and may serve as the client ...

3M HEALTHCARE

Quality Assurance Auditor

Richmond, VA · On-site

Additionally, the Quality Assurance Auditor III provides finished audit reports to management, plans and delivers billable quality services for clients and projects, and may serve as the client ...

Austin Hr

Quality Assurance (QA) Lead

Austin, TX · On-site

Our team focuses on providing software solutions that support the billing and scheduling of ... We are looking for a Quality Assurance (QA) Lead to join our team. This position involves working ...

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Billing Quality Assurance information

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$31.5K

$71.3K

$117K

How much do billing quality assurance jobs pay per year?

As of Aug 22, 2026, the average yearly pay for billing quality assurance in the United States is $71,279.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,000.00 and $84,500.00 per year, depending on experience, location, and employer.

What is billing quality assurance?

Billing Quality Assurance is a process within organizations that ensures billing operations are accurate, compliant, and efficient. Professionals in this role review invoices, monitor billing processes, and identify any discrepancies or errors before bills are sent to customers. Their goal is to prevent financial losses, reduce disputes, and ensure customers are billed correctly according to contracts and regulations. This role often involves working closely with billing, finance, and compliance teams to maintain high standards and improve billing practices.

What are the key skills and qualifications needed to thrive as a billing quality assurance specialist?

To thrive as a Billing Quality Assurance specialist, you need a solid understanding of billing processes, attention to detail, and experience with auditing or quality control, often supported by a degree in accounting, finance, or a related field. Familiarity with billing software, ERP systems, and data analysis tools, as well as knowledge of relevant regulations, is typically required. Strong analytical thinking, communication skills, and the ability to work independently are valuable soft skills in this role. These abilities are crucial for identifying errors, ensuring compliance, and maintaining accurate financial records that support business integrity.

What are some common challenges faced by professionals in billing quality assurance, and how can they be addressed?

Professionals in Billing Quality Assurance often encounter challenges such as identifying inconsistencies in large volumes of billing data, ensuring compliance with evolving regulations, and effectively communicating errors to other departments. To address these issues, QA specialists typically rely on advanced auditing software, maintain up-to-date knowledge of industry standards, and develop strong collaboration skills to work closely with billing, compliance, and IT teams. Continuous training and adopting a proactive approach to process improvement can greatly enhance accuracy and efficiency in this role.

What is the difference between Billing Quality Assurance vs Billing Specialist?

AspectBilling Quality AssuranceBilling Specialist
Primary RoleReview and ensure accuracy of billing processes and dataPrepare, process, and issue invoices to clients
Required SkillsAttention to detail, knowledge of billing procedures, quality controlData entry, customer service, billing software proficiency
Work EnvironmentQuality assurance teams, finance departmentsBilling departments, accounting teams
CertificationsOften requires familiarity with billing standards, quality assurance certificationsMay require accounting or billing certifications

Billing Quality Assurance focuses on reviewing and verifying billing accuracy to prevent errors, while Billing Specialists handle the creation and processing of invoices. Both roles are essential in the billing process but serve different functions within the finance and accounting departments.

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Billing Quality Assurance jobs near you
Infographic showing various Billing Quality Assurance job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $71,279 per year, or $34.3 per hour.

Billing QA Specialist

Western Missouri Medical Center

Warrensburg, MO • On-site

$17.75 - $24/hr

Full-time

Re-posted 15 days ago

Western Missouri Medical Center rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

994th of 1,061 rated hospitals

Job description

Job Type
Full-time
Description
This is an on-site position with the possibility of turning into a hybrid position once Meditech system is live.
PURPOSE STATEMENT
The Billing QA Specialist is responsible for ensuring clean, accurate claims are released prior to submission to minimize denials and rework. This role serves as a quality checkpoint in the revenue cycle, working within Meditech work queues to resolve claim edits, validate coding and billing compliance, and support overall revenue integrity. The Billing QA Specialist plays a critical role in reducing denials, improving cash flow, and achieving a >90% clean claim rate.
ESSENTIAL FUNCTIONS
Claim Edit Resolution (Primary Function)
  • Work MEDITECH claim edit work queues.
  • Resolve hard and soft claim edits prior to billing.
  • Review and Correct:
  • Missing/invalid modifiers
  • CPT/HCPC and ICD-10 inconsistencies
  • NCCI edits and bundling issues
  • Authorization requirements
  • payer-specific billing rules
  • Ensure all required documentation and coding elements are present before claim release.

Pre-Bill Quality Assurance
  • Perform detailed review of high-dollar and high-risk claims.
  • Validate:
  • Accurate payer selection
  • Correct billing entity (facility & professional)
  • Charge integrity and completeness
  • Prevent claims from being submitted with known errors.

Denial Prevention and Trend Identification
  • Analyze common claim edit failures and denial trends.
  • Partner with:
  • Patient Access (eligibility/auth issues)
  • Coding (coding accuracy and documentation)
  • Billing (workflow/process issues)
  • Provide feedback to reduce repeat errors.

Collaboration and Escalation
  • Collaborate with:
  • Coders
  • Denial Specialists
  • A/R Team
  • Escalate complex or recurring issues to leadership.
  • Participate in workflow improvement initiatives.

Productivity and Compliance
  • Meet daily productivity targets for claim review and resolution.
  • Maintain compliance with:
  • CMS guidelines
  • Payer billing requirements
  • Organizational policies

Requirements
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
  • High school diploma or equivalent.
  • An Associate's degree in Business-related field is required.
  • Must possess a minimum of 3+ (three) years of healthcare billing, revenue cycle, or claims experience.
  • Certification required or obtained within one year of employment (one or more of the following):
  • CPC (Certified Professional Coder)
  • CPB (Certified Professional Biller)
  • CRCR (Certified Revenue Cycle Representative)
  • Experience working in an HER system (MEDITECH preferred).
  • Experience working in a claim scrubber (SSI preferred).
  • Strong understanding of:
  • CPT, HCPCS, ICD-10 coding basics
  • Claim edit and payer rules
  • Insurance billing workflows
  • Familiarity with denial management and A/R follow-up.

Key Competencies
  • Strong attention to detail.
  • Analytical/problem-solving skills.
  • Ability to identify root causes of billing errors.
  • Effective communication across departments.
  • Ability to manage high work volumes in a deadline-driven environment.
  • Performance Metrics
  • Clean claim rate (90%).
  • Claim edit turnaround time (24 hours).
  • Reduction in denial rates tied to preventable errors.
  • Work queue aging and volume management.

PHYSICAL/MENTAL REQUIREMENTS
  • Must be able to sit and stand, intermittent 8 to 10 hours a day.
  • Must be able to use standard office equipment, including the telephone and computer keyboard.
  • Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
  • Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
  • Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
  • Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs.
  • Occasionally walks on uneven surfaces.

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