Quick Med Claims, LLC

Accounts Receivable Manager

Quick Med Claims, LLC

full-time

Posted on:

Origin:  • 🇺🇸 United States • Pennsylvania

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Job Level

JuniorMid-Level

About the role

  • Manage and directly oversee the ARM (Accounts Receivable Management) team to ensure outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner.
  • Conduct huddles and team meetings; deliver biweekly one-on-ones and annual reviews; provide corrective actions when necessary.
  • Maintain staffing schedules to ensure proper oversight for each account.
  • Manage employee performance through system reporting and formal reviews.
  • Coordinate workflow between teams and interface with internal and external resources.
  • Assist with interdepartmental issues and coordinate problem-solving efficiently and timely.
  • Collaborate with internal departments to identify and update efficient processes.
  • Develop AR policies, procedures, and KPIs to support company revenue cycle goals.
  • Identify deficiencies with employees and ensure proper training is provided; support employee development through additional ARM-specific training.
  • Manage all aspects of the ARM process and the ARM Specialists; communicate account-specific changes to team members.
  • Perform quality checks on assigned claims; perform monthly reviews and process write-offs for assigned accounts.
  • Prepare and deliver employee productivity reports monthly; analyze AR trends to identify process gaps, payer issues, or team training needs.
  • Oversee day-to-day operations and long-term strategy for the Accounts Receivable department; lead cross-departmental efforts to improve collections, reduce denials, and enhance payer communication.
  • Mentor AR leads and specialists, foster accountability and professional growth; manage reporting cadence for leadership, including aging, denial metrics, and appeal outcomes.
  • Drive technology adoption and process automation within AR workflows.
  • May occasionally participate in client-facing meetings.
  • Adhere to all QMC HIPAA privacy policies and procedures; maintain confidentiality and security of sensitive patient information.
  • Ensure consistent adherence to company attendance policies; perform other related duties as assigned.

Requirements

  • BA/BS degree preferred, or 3–5 years of equivalent experience in healthcare.
  • 2–3 years of collections, billing, and/or claims experience.
  • Minimum of 2 years of supervisory experience preferred.
  • Minimum of 3–5 years’ experience in healthcare claims processing, billing, or accounts receivable.
  • Demonstrated mastery of billing and accounts receivable procedures, as well as compliance regulations.
  • Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and 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.
  • Intermediate computer skills, including proficiency in Microsoft Word, Excel, and Outlook.
  • Working knowledge of the full revenue cycle management process.
  • Strong written and verbal communication skills.
  • Ability to lead and motivate a team.
  • Ability to create agendas, prepare presentations, and conduct meetings.
  • 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.
  • Strong customer service skills and experience.