Insurance Accounts Receivable Specialist III
Solaris Health
Accounts Receivable Manager
Quick Med Claims, LLC
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Manage ARM team and ensure outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements
- Conduct huddles and team meetings; deliver biweekly one-on-ones and annual reviews; provide corrective actions when necessary
- Maintain staffing schedules and coordinate workflow between teams and internal/external resources
- Develop AR policies, procedures, and KPIs; maintain and report Key Performance Indicators
- Perform quality checks on assigned claims; perform monthly reviews and process write-offs for assigned accounts
- Prepare and deliver employee productivity reports and annual performance reviews
- 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; support employee development and training specific to ARM
- Manage reporting cadence for leadership including aging, denial metrics, and appeal outcomes
- Drive technology adoption and process automation within AR workflows
- Communicate account-specific changes to team members and occasionally participate in client-facing meetings
- Adhere to QMC HIPAA privacy policies and company attendance policies
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 and 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
- Proficiency with various web platforms, including billing software and payer portals
- Prior customer service experience
- Intermediate computer skills, including proficiency in Microsoft Word, Excel, and Outlook
- Working knowledge of the full revenue cycle management process
- Ability to obtain ambulance biller certification within 6 months (provided through QMC)
- Adherence to QMC HIPAA privacy policies and procedures
Benefits
- 100% work from home (Fully Remote)
- Ambulance biller certification provided through QMC within 6 months of employment (professional development)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
accounts receivablebillingclaims processinginsurance appealsICD-10HCPCSrevenue cycle managementpayer denial codesKPI developmentquality checks
Soft skills
leadershipcommunicationmentoringteam managementanalytical skillsproblem-solvingemployee developmentorganizational skillscollaborationcustomer service
Certifications
ambulance biller certification
