Description
This position is 100% Remote
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.
As a Facility Billing Specialist, you will play a crucial role in ensuring accurate and efficient billing processes for medical services provided to patients in various healthcare facilities. Your responsibilities will encompass a range of tasks, including managing accounts, following up on past due accounts, collaborating with hospitals and other medical facilities, and maintaining comprehensive documentation. Your attention to detail, effective communication, and commitment to accuracy will contribute to the financial integrity of our organization's billing operations.
Requirements
Essential Duties & 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.
- Proactively follow up with facilities to address and resolve past due accounts.
- Establish effective communication with hospitals, nursing homes, Hospice facilities, and other parties to obtain accurate and up-to-date invoicing information.
- Ensure proper documentation and notations on accounts for comprehensive record-keeping and reference.
- Implement a consistent workflow to monitor and manage aging accounts, ensuring that unpaid claims are promptly addressed on a daily basis.
- Strategically prioritize and engage in appropriate follow-ups to minimize the impact of aging accounts on financial operations.
- Skillfully create, review, and complete billing documents with meticulous attention to detail, ensuring accurate representation of services rendered.
- Collaborate with relevant parties to verify and validate billing information, mitigating errors and discrepancies.
- Submit finalized claims using either 1500 paper forms or electronic submission methods, adhering to industry standards and guidelines.
- Ensure the accuracy and completeness of claims documentation to expedite processing and reimbursement.
- Undertake the QMC Billing Certification within the stipulated timeframe, enhancing your expertise and ensuring compliance with certification requirements.
- Stay informed about industry best practices and evolving regulations to enhance your skills and contribute effectively to the billing process.
- Update charges in accordance with provided services, reflecting accurate billing information for optimal financial management.
- Incorporate insurance and diagnostic codes into the billing system, facilitating comprehensive and well-documented billing processes.
Education and Experience:
- High school diploma or equivalent.
- Minimum 1 year of claims, billing, and collection experience
- Possess customer service experience
- Prior collections or medical billing experience with a basic understanding of ICD10, HCPCS, and medical terminology is preferred.
Knowledge, Skills and Abilities:
- Basic understanding of insurance & claims processing is preferred
- Ability to type a minimum of 35 WPM preferred
- Possess basic knowledge of the computer and experience using Microsoft Office
- Strong interpersonal, organizational, communication, and time management skills
- Possess problem-solving skills and have the ability to work in a fast-paced environment, with minimal supervision
Benefits:
- Comprehensive & competitive benefit package
- Generous 401k Company Match Program
- Profit Sharing Potential
- Bonus Program Potential
- Flexible work schedules
- Paid time off and holidays