Home Health Quality Assurance (QA) Lead / Biller

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TYPE OF WORK

Full Time

SALARY

$900 - $1000 per month

HOURS PER WEEK

40

DATE UPDATED

Jul 11, 2026

JOB OVERVIEW

Lead a High-Performing QA Team Supporting U.S. Home Health Patients
Are you an experienced home healthcare professional with strong Quality Assurance (QA) knowledge and a passion for developing people?

Tender Home Health is a growing Medicare-certified Home Health agency based in California. We are looking for an experienced Medical Quality Assurance Team Lead to supervise our QA and Billing team while ensuring accurate documentation, Medicare compliance, and maximum reimbursement.

If you're looking for a stable long-term career with a U.S. healthcare company that values leadership, continuous learning, and professional growth, we'd love to meet you.
________________________________________
Why Join Tender Home Health?
At Tender, our people come first. We believe that great companies are built by investing in great employees.
When you join our team, you'll become part of a collaborative culture where your ideas matter, your work is recognized, and your career can continue to grow.

What We Offer
• Permanent Work From Home
• Competitive salary
• Monthly performance bonuses
• Paid holidays
• Paid Time Off
• Career advancement opportunities
• Ongoing training and professional development
• Stable employment with a growing U.S. healthcare organization
________________________________________
Position Summary
As the Medical Quality Assurance Team Lead, you will oversee a team responsible for reviewing Home Health documentation, improving chart quality, supporting Medicare billing, and reducing claim denials.

You will coach tea ---------- mbers, solve complex billing issues, collaborate with our U.S. clinical staff, and continuously improve operational processes that support patient care and reimbursement.

This role combines leadership, quality assurance, Medicare billing, and process improvement.

The work hours are US Pacific time, 9:00 am to 6:00 pm Monday to Friday.
________________________________________
What You'll Do
Your typical responsibilities will include:

Team Leadership
• Lead, coach, and develop the Quality Assurance team
• Assign daily workloads and monitor team productivity
• Provide ongoing training, mentoring, and performance feedback
• Remove obstacles that prevent tea ---------- mbers from achieving their goals
• Build a culture of accountability, collaboration, and continuous improvement

Quality Assurance
• Review Home Health medical records for accuracy and completeness
• Audit clinical documentation to ensure compliance with Medicare regulations
• Identify documentation deficiencies and work with clinicians to resolve them
• Perform ongoing chart audits to improve documentation quality
• Track trends and recommend process improvements

Medicare Billing & Reimbursement
• Review documentation to maximize Medicare reimbursement
• Analyze billing rejections and identify root causes
• Resolve Medicare claim issues and payment discrepancies
• Research ICD-10 coding questions and reimbursement regulations
• Appeal low reimbursements and outlier payment determinations
• Help reduce billing errors and improve claim acceptance rates

Collaboration
• Drive clinicians and operational tea ---------- mbers to complete tasks to enable QA to complete notes
• Partner with U.S.-based nurses, therapists, and operations leaders
• Create reports that monitor quality metrics and team performance
• Support initiatives that improve operational efficiency and patient outcomes

If you are interested in the role, email ---------- and answer these questions:

How many years experience do you have working as Home Health QA?
How many years of supervisory experience do you have?
How many years have you worked for a US company?
If you are selected for an interview, please confirm you are fine with a video screening with role play
If you accept an interview, confirm that if you cannot no longer make it you will notify the interviewer.
Confirm that you have reliable internet and power with a backup
How many years of experience do you have with Wellsky?
Confirm that you are okay to work 9:00 am to 6:00 pm M-F US Pacific time
________________________________________
Qualifications
Required
• Active Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
• Strong Home Health experience
• Expert knowledge of Medicare Home Health documentation
• Experience leading remote healthcare teams
• Advanced understanding of ICD-10 coding
• Experience researching Medicare billing denials and claim rejections
• Experience working with Electronic Medical Record (EMR) systems – Wellsky (Kinnser)
• Advanced Microsoft Office Suite skills (Specifically Excel)
• Strong analytical and problem-solving abilities
• Excellent written and verbal English communication skills
• Previous experience working for a U.S. healthcare organization

Preferred
• Bachelor's degree
• Experience with process improvement initiatives
________________________________________
What Makes You Successful
You enjoy solving difficult problems, coaching others, and improving processes.

You pay close attention to detail while keeping the bigger picture in mind. You take ownership of your work, communicate professionally, and enjoy helping your team succeed.

Most importantly, you are committed to continuous learning and delivering high-quality work every day.
________________________________________
What Success Looks Like
Within your first 90 days, you will:
• Build strong relationships with your QA team and U.S. clinical partners
• Become an expert in Tender's QA and Medicare billing workflows
• Improve team productivity and documentation quality
• Reduce billing errors and Medicare claim rejections
• Coach tea ---------- mbers to consistently achieve performance goals
• Identify opportunities that improve efficiency across the department
________________________________________
Join Tender Home Health
If you're looking for more than just your next job—and want to build a long-term career with a growing U.S. healthcare company—we encourage you to apply.
Join Tender Home Health and help us improve the quality of care for patients while leading a team dedicated to excellence.

SKILL REQUIREMENT
Management Healthcare Medical Billing
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