Accounts Receivable Representative
Providence
Accounts Receivable Manager
Quick Med Claims, LLC
full-time
Posted on:
Location: Pennsylvania • 🇺🇸 United States
Visit company websiteJob 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.
