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Service First Medical (S1 Medical) logoService First Medical (S1 Medical)

Quality Assurance Specialist- Part Time

Chadds Ford Township, Pennsylvania, United States · Remote Solely

$20/hr–$22/hr

Mid level

About the Role We are seeking a detail-oriented and analytical Quality Assurance (QA) Analyst to join our Medical Bill Review team. The QA Analyst will be responsible for ensuring the accuracy and compliance of medical b…

Skills: Medical Bill Review, Auditing, Compliance, Medical Coding, Analytical Skills

Service First Medical (S1 Medical) logo

Quality Assurance Specialist- Part Time

Service First Medical (S1 Medical)

Chadds Ford Township, Pennsylvania, United States • Remote Solely

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Mid level

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  • $20/hr–$22/hr
  • Part-time
  • Posted 17d ago
  • ~32 hrs/week
  • Remote in Alabama, United States, Arkansas, United States, Delaware, United States, Florida, United States

Responsibilities

The QA Analyst audits medical bill reviews for accuracy and compliance with regulatory guidelines and client rules. They identify error trends and collaborate with clinical staff and analysts to improve review outcomes and update QA policies.

Requirements

Candidates should have strong organizational skills, high attention to detail, and the ability to work independently. Prior experience in medical billing, auditing, or coding and knowledge of workers' compensation regulations are preferred.

Full job description

About the Role

We are seeking a detail-oriented and analytical Quality Assurance (QA) Analyst to join our Medical Bill Review team. The QA Analyst will be responsible for ensuring the accuracy and compliance of medical bill review processes, identifying errors, and recommending improvements to enhance service quality and regulatory adherence.

The Quality Assurance (QA) Analyst works closely with the Department Program Manager and QA Team Lead and collaborates with internal teams, vendor partners, and clients to ensure seamless workflows, clear communication, and high-quality outcomes.

Key Responsibilities

  • Audit medical bill reviews for accuracy, adherence to client-specific rules, and compliance with applicable regulations (e.g. workers' complementation, PPOs, UCR, Medicare/Medicaid guidelines).
  • Identify trends and root causes of errors and provide feedback to relevant teams to improve accuracy.
  • Collaborate with bill review analysts, coders, and clinical staff to resolve discrepancies and ensure high-quality review outcomes.
  • Contribute to developing and updating QA policies procedures and training materials, when needed.
  • Participate in system testing and validation for software updates affecting bill review processes.
  • Monitor compliance with turnaround time standards and escalate issues as needed.

What We’re Looking For

  • Strong organizational and prioritization skills.
  • Excellent communication and client service abilities.
  • High attention to detail with a commitment to accuracy.
  • Ability to work independently while collaborating effectively with team members.
  • Prior experience in medical billing, auditing, or coding is a plus.
  • Knowledge of state-specific workers' compensation regulations or fee schedules is a plus.
  • Part Time with the availability to work a max of 32 hours per week
  • Individual must reside in one of the following states: Alabama, Arkansas, Delaware, Florida, Georgia, Massachusetts, New Jersey, North Carolina, Ohio, Pennsylvania, or South Carolina.



Why Join Us?

This is an opportunity to play a key role in a high-impact program, directly contributing to client satisfaction and organizational success. You’ll work in a supportive environment where accuracy, accountability, and collaboration are highly valued.

Related keywords

Medical Bill ReviewQuality AssuranceWorkers' CompensationPPOUCRMedicareMedicaidMedical AuditingMedical CodingRegulatory ComplianceRoot Cause AnalysisSystem Testing

About Service First Medical (S1 Medical)

LinkedInVisit site

The difference is service first.

Industry
Insurance
Company size
11-50 employees
Founded
2016
Headquarters
Chadds Ford, Pennsylvania
LinkedIn followers
503

S1 Medical is a customer experience focused independent cost containment and medical management firm headquartered in the Greater Philadelphia region. S1 was developed to fulfill the market need for service focused, progressively thinking, nimble cost containment solutions. Through unique niche medical management programs, S1 delivers powerful tools to the casualty market. We challenge you to do better for your clients, better for your claims, and better for you.

Offices: 225 Wilmington/West Chester Pike, Suite 200, Chadds Ford, Pennsylvania 19317, US

Workers CompensationMedical Bill Audits/NegotiationsLiabilityInjury Triageprescription managementspecialty medical coordinationand PPO Network AccessHealth CareBillingCustomer Service
View all jobs at Service First Medical (S1 Medical)

About Service First Medical (S1 Medical)

LinkedInVisit site

The difference is service first.

Industry
Insurance
Company size
11-50 employees
Founded
2016
Headquarters
Chadds Ford, Pennsylvania
LinkedIn followers
503

S1 Medical is a customer experience focused independent cost containment and medical management firm headquartered in the Greater Philadelphia region. S1 was developed to fulfill the market need for service focused, progressively thinking, nimble cost containment solutions. Through unique niche medical management programs, S1 delivers powerful tools to the casualty market. We challenge you to do better for your clients, better for your claims, and better for you.

Offices: 225 Wilmington/West Chester Pike, Suite 200, Chadds Ford, Pennsylvania 19317, US

Workers CompensationMedical Bill Audits/NegotiationsLiabilityInjury Triageprescription managementspecialty medical coordinationand PPO Network AccessHealth CareBillingCustomer Service
View all jobs at Service First Medical (S1 Medical)

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