Quick Med Claims, LLC

Accounts Receivable Specialist

Quick Med Claims, LLC

full-time

Posted on:

Origin:  • 🇺🇸 United States • Pennsylvania

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Job Level

Junior

About the role

  • Make telephone calls to patients, hospitals, insurance companies, facilities, and attorneys as needed to research claims or obtain additional insurance information
  • Contact insurance carriers to inquire about the status of past-due accounts
  • Meet or exceed defined productivity and quality standards
  • Document details of activity on each account in the claims processing system
  • Follow up on self-pay accounts, including contacting patients by telephone to inquire about insurance coverage or establish payment plans
  • Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims daily
  • Follow up on accounts that have reached collections to ensure they have been fully worked before referral to an external collection agency
  • Follow up on any assigned special projects designated by the Manager
  • Perform quality checks on assigned claims
  • Maintain confidentiality regarding all assignments
  • Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
  • Demonstrate the highest level of compliance with all laws and regulations, including HIPAA
  • Other Responsibilities: Adhere to all QMC HIPAA privacy policies and procedures

Requirements

  • High School Diploma or equivalent required
  • Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
  • Hands-on experience preparing and submitting insurance appeals, including understanding remittance advices, payer denial codes, and payer timely filing limits
  • Familiarity with ICD-10, HCPCS, and general medical terminology
  • EMS billing experience strongly preferred; experience in other medical specialties will be considered
  • Proficiency with various web platforms, including billing software and payer portals
  • Prior customer service experience with the ability to work collaboratively with other departments and team members
  • Knowledge, Skills, Abilities Basic computer knowledge and experience using Microsoft Office
  • Strong customer service skills and experience
  • Strong interpersonal, organizational, communication, and time-management skills
  • Strong investigative and research skills, with the ability to resolve complex billing issues
  • Effective critical thinking and analytical abilities
  • Ability to work independently in a fast-paced, adaptive environment with minimal supervision