Description:
Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement. QMC is committed to providing services in a manner that ensures compliance with all applicable billing and reimbursement regulations while maximizing the capture of allowable reimbursement for each client. The commitment to adherence to both principles make QMC the partner of choice for emergency medical transportation providers.

EDUCATION

• High School Diploma or equivalent required

EXPERIENCE

• 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.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• 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 but not limited to HIPAA.

OTHER RESPONSIBILITIES:

• Adhere to all QMC HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information.
• Ensures consistent adherence to company attendance policies.
  Requirements: