Full-Time
Senior Quality Assurance Specialist 1
Revenue Cycle Management Quality Assurance
Updated on 9/3/2026
NextGen Healthcare
1,001-5,000 employees
EHR, RCM, analytics for practices
No salary listed
Georgia, USA
Remote
Associate's
 Risk & Compliance |
|---|
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- An associate degree with coursework in Business Administration or a related field, or an equivalent combination of education and experience.
- At least 4 years of experience in Revenue Cycle Systems and Operations or Revenue Cycle Management Quality Assurance.
- Experience coordinating or leading projects or process improvement initiatives.
- Proficiency in Microsoft Office and audit/documentation systems.
- Strong analytical, communication, and problem-solving skills.
- Effective cross-functional collaboration and ability to influence without direct authority.
- Ability to work independently, prioritize tasks, and manage deadlines.
- Coordinate and execute Quality Assurance activities, including sampling, status reporting, document archival, and process tracking.
- Support the Quality Assurance Manager with operational tasks and ensure timely completion of quality review deliverables.
- Conduct quality assurance reviews and analyze results to identify performance gaps and recommend process improvements.
- Monitor program performance against service-level agreements and performance standards.
- Assist in developing action plans for performance improvement initiatives in collaboration with Quality Assurance leadership.
- Conduct quality sampling and analyze workflow designs to identify trends and potential bottlenecks.
- Audit reports, analyze trends needing attention, and escalate findings and insights to the Quality Assurance Manager.
- Contribute to cross-functional initiatives aimed at improving operational outcomes.
- Act as a liaison between Quality Assurance and operational teams to incorporate feedback and improve service quality.
- Communicate program updates, changes in standard operating procedures, and directives to relevant stakeholders.
- Participate in continuous improvement efforts by identifying process gaps and proposing solutions.
- Ensure compliance with company standards, policies, and procedures, and report deviations as needed.
- Communicate and meet regularly with the Global Partners Quality Assurance teams.
- Perform other duties that support the overall objective of the position.
NextGen Healthcare provides software, services, and analytics for medical and dental group practices. Its core products include electronic health records (EHR), revenue cycle management (RCM), analytics, interoperability, and mobile solutions, all delivered via software and subscription services with professional services for implementation. The platform helps physicians and dental teams improve clinical care, financial management, patient engagement, population health, and move toward value-based healthcare. Distinguishing factors include an end-to-end, practice-focused suite and offerings designed to support practice workflow, interoperability, and transitions to value-based models through configurable software and support services.
Company Size
1,001-5,000
Company Stage
IPO
Headquarters
Horsham, null
Founded
1973
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Simplify's Take
What believers are saying
- Chestnut Health Systems chose NextGen on May 27, 2026 for unified care delivery.
- Gautam Shah joined June 3, 2026 to accelerate AI-led product strategy.
- TIME named NextGen Healthcare a 2026 Best Private Company, supporting recruiting and sales.
What critics are saying
- The 2023 breach became a $19.375 million settlement, damaging trust through 2026.
- Private-equity ownership by Thoma Bravo and MDP pressures cost cuts over product patience.
- Oracle Health, Epic, and niche specialty vendors can outspend NextGen and squeeze renewals.
What makes NextGen Healthcare unique
- NextGen Healthcare couples EHR, PM, RCM, and patient engagement for ambulatory practices.
- Its AI stack, including NextGen Intelligent Agent, targets documentation, scheduling, and revenue workflows.
- NACHC and Eyefinity partnerships deepen specialty and community-health-center distribution in 2026.
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Benefits
Flexible Work Hours
Professional Development Budget
Growth & Insights and Company News
6 month growth
↑ 2%1 year growth
↑ 2%2 year growth
↑ 2%I agree We use cookies on this website to enhance your user experience. By clicking any link on this page you are giving your consent for us to set cookies. More info NextGen Healthcare has been recognized by Healthcare Tech Outlook Magazine as the exclusive recipient of "Top Healthcare Practice Management Solutions 2026," based on our proprietary methodology, reflecting its position in the industry, and is also named among "Top Medical Practice Management Solutions," reflecting its broader leadership. This profile has been developed by the Healthcare Tech Outlook research and editorial team based on insights from an interview with Srinivas Velamoor, PRESIDENT & CEO. NextGen Healthcare closing the gaps from access to payment. Follow NextGen Healthcare on: A denied claim can begin at the appointment desk. An eligibility detail missed during registration or an inaccurate charge may not surface until days later, after the work has already moved through several hands. By then, correcting the issue can mean another round of staff time, patient contact, payer follow-up and rework. NextGen Healthcare approaches practice management by keeping those handoffs connected. NextGen Enterprise PM brings scheduling, registration, billing and reporting into one administrative environment built on a single database and master patient index. The aim is not simply to automate isolated tasks. It is to keep information useful as a patient moves from appointment access to reimbursement. Continuity matters because practice operations are cumulative. Clean registration data can support eligibility checks and patient estimates. Accurate information can move into charge review with fewer corrections. A cleaner claim can reach the payer with less rework, while the financial record created along the way becomes useful to managers looking for patterns across locations or providers. Before the Visit Shapes What Follows NextGen starts the revenue cycle before care is delivered. Appointment scheduling can be configured around provider calendars, visit lengths, patient groups and waitlists, giving practices a more structured way to manage capacity across the enterprise. Eligibility verification sits close to that process. NextGen can connect with payer systems to confirm coverage and help practices estimate patient responsibility before the encounter. Patient-access tools extend the same workflow through self-scheduling, real-time waitlists, referral management and automated communication. Instead of making the front desk the sole point of coordination, routine access tasks can move through digital channels while staff handle exceptions. The operational effect shows up later. Coverage questions identified before the visit are less likely to become billing surprises. Registration information does not have to be recreated when the encounter becomes a claim. Patient responsibility can be discussed earlier, when there is still time to clarify an issue, rather than discover it after the balance is due. Catch Problems Before They Become Claims Clinical care creates charges, but not every charge should move directly into billing. NextGen's Charge Review Rules Engine sits between the EHR and practice management system, checking charge data against configurable and specialty-specific rules before it enters the revenue cycle. Straightforward charges can pass through automatically. Certain errors can be corrected without manual intervention, while exceptions that need judgment are routed to staff. NextGen's rules engine can eliminate 75 percent of manual charge-data review. The value is not automation for its own sake. Staff attention is reserved for the portion of the workload that actually needs review. Coding support, charge edits, audit visibility and specialty rules help reduce the chance that a preventable mistake travels into a claim and returns later as a denial. Administrative work changes when controls sit closer to the point where data is created. Instead of finding every problem at the end of the process, the practice can stop more of them before submission. A claim that leaves the organization with cleaner information requires fewer touches afterward and gives the payer less reason to send it back. Keep the Claim Moving Once a claim is ready, the workflow leaves the practice and enters a more complex network of payer transactions, acknowledgments, edits and payment status. NextGen connects that stage through billing automation and clearinghouse capabilities, including its preferred clearinghouse partnership with Waystar. Routine activity can continue without someone manually initiating every step. Claims, statements, eligibility requests and status inquiries can be scheduled, while electronic workflows help staff track where transactions stand. Claim attachments and coverage-detection capabilities add support for cases that need more than a standard submission. The financial side remains connected to the same operating flow. Practices can use patient estimates, payment tools, collection workflows and A/R reporting to manage balances without separating patient responsibility from the rest of the revenue cycle. A coverage issue found before the visit can shape both the conversation with the patient and the way the final account is managed. The connection matters for staff as much as it does for cash flow. Predictable transactions can move automatically, leaving people to focus on denials, exceptions, authorizations and accounts that need judgment. Automation changes which work reaches the team rather than simply adding another layer of software. Turn Daily Activity into Management Insight A practice-management system also creates an operational record of the business. NextGen Insights brings clinical and practice data into reporting views that can be examined by period, location, provider and transaction detail. The platform uses more than 400 automated data-quality checks to help maintain confidence in the information being analyzed. Because the reporting draws from connected workflows, managers can move from a high-level trend toward the transactions underneath it. * NextGen Healthcare connects the front office and financial back office so information gathered early in the patient journey remains useful through billing and payment. Greenville Rancheria Tribal Health provides an example of how that visibility can translate into operating discipline. After adopting NextGen Enterprise and using billing edits, the organization reported that average days in A/R fell to 13 within one year and remained there for almost three years. The result is specific to that organization, but it shows how cleaner workflows and better visibility can reinforce one another. NextGen's practice-management solutions also received the No. 1 position in Black Book Market Research's 2026 physician practice-management benchmarking for the ninth consecutive year. The recognition adds an external measure of how the platform performs against other practice-management solutions. Turning Connected Data into Action NextGen Healthcare's strength lies less in any one scheduling screen or billing feature than in what happens between them. Information collected at registration can support eligibility and cost estimation. Encounter data can pass through charge review before a claim is submitted. Payment activity can feed financial reporting, while the resulting information helps leaders identify where the workflow itself needs attention. A denied claim may still happen. What changes is how much of the preventable work can be caught earlier and how quickly the practice can see where friction is building. The platform follows the business of care from appointment access through reimbursement, reducing the need to rebuild information at each handoff and giving staff a clearer path from patient encounter to financial resolution. Management Srinivas Velamoor, PRESIDENT & CEO, NextGen Healthcare Description NextGen Healthcare provides practice management technology for ambulatory organizations, combining scheduling, eligibility, billing and financial analytics with charge review, clearinghouse connectivity, patient access and reporting tools to manage administrative and revenue-cycle workflows across daily practice operations.
NextGen Healthcare has appointed Gautam "G" Shah as Chief Product and Strategy Officer to lead expansion of its ambulatory care solutions. Shah brings 25 years of global experience in product management, AI, digital transformation and healthcare finance. Most recently Chief Product Officer at Carelon, Shah led product strategy across analytics, behavioural health, clinical care, revenue cycle management and AI solutions. He holds 10 patents for innovations in experience personalisation and service delivery. The cloud-based healthcare technology provider aims to accelerate AI-led innovation across its platform. Chief executive Srinivas Velamoor said Shah's experience will be instrumental in advancing the company's vision to simplify ambulatory care through AI-powered solutions. Shah holds a Bachelor of Science in Engineering and an Executive MBA from Pepperdine University.
NextGen Healthcare chosen by Chestnut Health Systems to supercharge whole-person care delivery across Illinois and Missouri. Technology Investments will Streamline Operations, Enhance Reporting, and Elevate Patient Experience Chicago, IL - May 27, 2026 - NextGen Healthcare, a leading provider of innovative, cloud-based healthcare technology solutions, has been chosen by Chestnut Health Systems(TM) to bolster its integration of primary, dental, and behavioral healthcare services for its communities across Illinois and Missouri. NextGen(R) Enterprise EHR (electronic health record) and NextGen(R) Enterprise PM (practice management) will boost visibility and improve care continuity across Chestnut's locations and programs by offering a single, integrated platform. Solutions from NextGen Healthcare will also reduce administrative burdens by streamlining mandatory reporting and unlocking real-time insights from data. Providers will be able to conveniently access the EHR from their mobile devices with NextGen(R) Mobile. Meanwhile, access to care will be enhanced with various patient engagement solutions that equip patients to schedule appointments and complete pre-visit intake forms from their personal devices. "Chestnut Health Systems is a longtime leader in innovative, whole-person care delivery," said Srinivas (Sri) Velamoor, president and chief executive officer, NextGen Healthcare. "We're proud to empower Chestnut's teams to work more efficiently, create better outcomes transparency, and deliver a superior patient experience." Over the years, Chestnut has worked to connect the dots across their full continuum of care - from street outreach to primary care and behavioral health to fully integrated, wraparound services. Moving to a single, unified EHR upon implementation in 2027 will give their teams real-time access to information, enabling stronger collaboration and smoother transitions across programs while supporting a consistent, whole-person experience for those served. "We are excited to partner with NextGen as we implement a unified electronic health record across our organization," said Puneet Leekha, chief executive officer, Chestnut Health Systems. "This investment will improve operational efficiency and elevate both the patient and staff experience, while positioning us to leverage advanced solutions that support high-quality care and continued innovation and growth." Discover more about how NextGen Healthcare is supporting FQHCs and CHCs nationwide by visiting nextgen.com. About Chestnut Health Systems Chestnut Health Systems(TM) is a not-for-profit organization that has cared since 1973 for the most vulnerable in its communities. Chestnut provides substance use prevention, treatment, and recovery; mental health treatment; primary care; dental care; and housing and supportive services. It is a leader in behavioral health-related research through its Lighthouse Institute. More at www.chestnut.org. About NextGen Healthcare, Inc. NextGen Healthcare is the technology partner for diverse ambulatory practices with evolving business needs. NextGen Healthcare Inc combine performance at scale with the operational flexibility practices need to adapt, grow and thrive. Its intelligent, integrated solutions help practices navigate complexity with confidence - improving operations, driving sustainable financial progress, and supporting clinicians, staff and patients across the care continuum. With NextGen, practices are prepared for whatever comes next. Learn more at nextgen.com, and follow NextGen Healthcare Inc on Facebook, LinkedIn, YouTube, and Instagram. Anjali Bright (731) 234-6422
Ventra Health appoints David Sides as Chief Executive Officer and Board member. * 18 hrs ago PR Newswire DALLAS, May 15, 2026 Healthcare IT veteran joins Ventra to deepen client partnerships, accelerate its AI strategy and support Ventra's next chapter of growth. DALLAS, May 15, 2026 /PRNewswire/ - Ventra Health ("Ventra" or "the Company"), a leading business solutions provider for facility-based physicians, today announced the appointment of David Sides as Chief Executive Officer, effective May 11, 2026. Sides, an accomplished operator within the healthcare technology domain, brings more than three decades of experience leading and scaling premier healthcare IT companies. Sides has succeeded Steven Huddleston as part of a planned transition. Sides joins Ventra from NextGen Healthcare, where he served as President and CEO and continues to serve on the Board of Directors. Under his leadership, NextGen became one of the preeminent companies in ambulatory healthcare technology and completed a $1.8 billion transaction in partnership with investment firm, Thoma Bravo in 2023. He has been recognized as one of the top technology CEOs by The Healthcare Technology Report and is considered one of the leading voices of responsible AI implementation in healthcare. Earlier in his career, Sides served as Chief Operating Officer of Teladoc Health, where he led the company's worldwide commercial and operations teams during a period when revenues doubled. "I am excited to join Ventra and want to offer my thanks to the entire senior leadership team. Ventra is a trusted partner with long-standing relationships and deep revenue cycle management expertise. I'm excited to get out and meet our clients," Sides commented. "My priorities are straightforward: continue to deliver for our existing clients, accelerate our AI strategy to drive better outcomes at greater scale, and continue to invest in the people who have made Ventra strong. This is a business with great momentum, and my job is to build on it." Under Sides' leadership, Ventra will continue to execute against its strategic priorities already underway via deepening partnerships with its physician clients, scaling the AI and Automation capabilities across its revenue cycle platform, and accelerating growth in both existing and adjacent segments. Ventra's leadership team and operating model will remain in place, with Sides focusing on extending the Company's growth trajectory. About Ventra Health Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Follow Ventra on LinkedIn. Media Contact Jenifer Bush Senior Vice President, Marketing Ventra Health [email protected] SOURCE Ventra Health
NextGen Healthcare receives Bronze Stevie(R) Award for "AI-Driven Success in Action" in 2026 American Business Awards(R). Leading Healthtech Company Recognized for "Redesigning Workflows from the Ground Up" NEW YORK-(BUSINESS WIRE)-NextGen Healthcare, a leading provider of innovative, cloud-based healthcare technology solutions, has received a Bronze Stevie(R) Award for "AI-Driven Success in Action" in the 2026 American Business Awards(R), the premier U.S. business awards program. "We are committed to helping our clients cut through hype and harness AI to achieve measurable, sustainable results," said Srinivas (Sri) Velamoor, president and chief executive officer, NextGen Healthcare. Share Nominated for the category of "AI in Healthcare Achievement," NextGen Healthcare was recognized by the judging panel for "showing real improvements in provider productivity, patient access, and operational efficiency" and "redesigning workflows from the ground up rather than just layering AI on top of existing systems, which shows genuine architectural thinking rather than just bolting on a trendy feature." Ambulatory healthcare practices leveraging NextGen Healthcare's AI solutions report the following results: * 57% reduction in after-hours documentation * 5-10 more patients seen per day * Patients seen 21 days sooner * 97% reduction in no-show volume "We are committed to helping our clients cut through hype and harness AI to achieve measurable, sustainable results," said Srinivas (Sri) Velamoor, president and chief executive officer, NextGen Healthcare. "Our teams are focused on embedding intelligent orchestration across workflows to fundamentally reimagine the practice, provider and patient experience." Nicknamed the Stevies for the Greek word meaning "crowned," the awards will be presented to winners at a gala ceremony at the Marriott Marquis Hotel in New York on Tuesday, June 9. More than 3,700 nominations from individuals and organizations of all sizes and in virtually every industry were submitted this year for consideration in a wide range of categories, including Startup of the Year, Executive of the Year, Best New Product or Service of the Year, Marketing Campaign of the Year, Thought Leader of the Year, and App of the Year, among others. "Organizations across the United States continue to set a high standard for innovation and performance," said Stevie Awards president Maggie Miller. "The breadth and quality of nominations submitted to The 2026 American Business Awards reflect a dynamic and competitive business environment, where organizations are finding new ways to drive growth, deliver value, and make an impact. We congratulate all of this year's Stevie Award winners and look forward to celebrating their accomplishments at our June 9 awards ceremony in New York." Details about The American Business Awards and the list of 2026 Stevie winners are available at aba.stevieawards.com. Learn more about how NextGen Healthcare is leading the way in AI-driven healthtech at nextgen.com. About the Stevie Awards Stevie Awards are conferred in nine programs: the Asia-Pacific Stevie Awards, the German Stevie Awards, the Middle East & North Africa Stevie Awards, The American Business Awards(R), The International Business Awards(R), the Stevie Awards for Women in Business, the Stevie Awards for Great Employers, the Stevie Awards for Sales & Customer Service, and the new Stevie Awards for Technology Excellence. Stevie Awards competitions receive more than 12,000 entries each year from organizations in more than 70 nations. Honoring organizations of all types and sizes, as well as the people behind them, the Stevies recognize outstanding workplace performance worldwide. Learn more about the Stevie Awards at http://www.StevieAwards.com. About NextGen Healthcare, Inc. NextGen Healthcare is the technology partner for diverse ambulatory practices with evolving business needs. Business Wire, Inc. combine performance at scale with the operational flexibility practices need to adapt, grow and thrive. Its intelligent, integrated solutions help practices navigate complexity with confidence - improving operations, driving sustainable financial progress, and supporting clinicians, staff and patients across the care continuum. With NextGen, practices are prepared for whatever comes next. Learn more at nextgen.com, and follow Business Wire, Inc. on Facebook, LinkedIn, YouTube, and Instagram.