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Medical Billing A/R Specialist - Pending Claims - Remote/Hybrid

1+ years
$16.50 to $21.25 per hour
10 Nov. 23, 2024
Job Description
Job Type: Full Time Remote Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Why Work Here?

Great hours and growth opportunities in a thriving medical billing company!

QMACS, Inc., a well-established medical billing company headquartered in Richardson, Texas, is expanding its operations to Waco and seeking professional, passionate, and energetic employees to join our team. We currently have several full-time A/R Specialist positions available in our Pending Claims Department. These roles are offered as Remote/Hybrid/In-Office opportunities.


Job Purpose

The A/R Specialist ensures timely resolution of outstanding medical claims by monitoring payments, researching discrepancies, and taking necessary follow-up actions. This position adheres to company protocols to verify coding accuracy and ensure compliance with client needs and specifications.


Key Responsibilities

  • Claims Management:

    • Conduct follow-up actions with insurance companies to ensure timely and complete payment.
    • Research and submit corrected claims or appeals as required.
    • Investigate payment discrepancies by contacting insurance companies when necessary.
  • Adjustment Processing:

    • Document and process adjustments, including write-offs, chargebacks, and transfers across various platforms.
  • Client Support:

    • Provide additional information to clients to facilitate successful collections.
  • Analysis and Documentation:

    • Analyze insurance reimbursement receipts for accuracy.
    • Maintain thorough documentation and serve as a steward of sensitive information by adhering to all applicable federal, state, and local regulations.

Requirements

  • Experience:

    • Previous medical billing experience required.
    • Familiarity with medical billing terminology and processes.
  • Skills:

    • Proficiency in Microsoft Excel.
    • Strong organizational skills and attention to detail.
    • Analytical abilities for problem-solving and information analysis.
    • Effective time management skills.
    • Excellent documentation and record-keeping abilities.
  • Personal Traits:

    • Results-focused with a commitment to quality.
    • Basic math skills.

About QMACS, Inc.

QMACS, Inc., based in Richardson, Texas, has over 30 years of experience in Revenue Cycle Management, Practice Management, and EHR Training & Implementation services. We specialize in a function-based approach that ensures thorough claim analysis for maximum revenue retention. Our expertise enables us to streamline office workflows, increasing productivity and improving patient load management for a variety of specialties and practice sizes.

Our proven processes and commitment to staying ahead of industry trends and mandates make us a trusted partner for healthcare providers seeking optimal revenue capture without added burdens.


Join our growing team and help us continue delivering exceptional results for our clients! Apply today!