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Medical Billing A/R Specialist - Pending Claims

2+ years
$16.50 to $21.25 per hour
10 Sept. 9, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences 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

A/R Specialist - Pending Claims Department

Location: Richardson, TX (with remote/hybrid/in-office options)
Company: QMACS, Inc.

About Us: QMACS, Inc. is a renowned medical billing company based in Richardson, Texas, with a strong reputation for excellence in Revenue Cycle Management, Practice Management, and EHR Training & Implementation. With over thirty years of experience, we specialize in optimizing office flow and enhancing revenue retention for a wide range of specialties and practice sizes. We are expanding our operations to Waco and seeking dedicated professionals to join our team.

Position Overview: We are looking for full-time A/R Specialists to join our Pending Claims Department. This role is crucial in generating revenue by managing and resolving outstanding medical claims. The ideal candidate will be professional, passionate, and energetic, with a strong background in medical billing.

Key Responsibilities:

  • Claims Follow-Up: Monitor and pursue payment and resolution of outstanding medical claims, ensuring timely and full payment.
  • Research & Appeals: Investigate and submit corrected claims and/or appeals as necessary.
  • Communication: Contact insurance companies to resolve discrepancies in payments and address any issues.
  • Adjustments: Process and document adjustments, including write-offs, transfers, and charge backs across multiple platforms.
  • Client Support: Provide additional information to clients to facilitate collections.
  • Receipt Analysis: Analyze insurance reimbursement receipts to ensure accuracy.
  • Compliance: Adhere to professional standards, company policies, and all relevant federal, state, and local requirements to protect sensitive information.

Requirements:

  • Medical Billing Experience: Previous experience in medical billing is required.
  • Terminology & Processes: Strong understanding of medical billing terminology and processes.
  • Excel Skills: Proficiency in Microsoft Excel is essential.
  • Detail-Oriented: Highly organized with excellent documentation skills.
  • Analytical Skills: Ability to analyze information effectively.
  • Time Management: Good time management skills with a focus on delivering quality results.
  • Math Skills: General math skills for accurate financial analysis.

Why Join QMACS?

  • Innovative Environment: Be part of a company with the technological and financial resources to stay ahead of industry trends and governmental mandates.
  • Career Growth: Opportunities for professional development and advancement within a well-established organization.
  • Supportive Culture: Join a team that values your contributions and supports your career growth.

Apply Now: If you are a motivated and detail-oriented individual with medical billing experience, we invite you to apply for the A/R Specialist position at QMACS, Inc. Explore a rewarding career in a dynamic and expanding company.

About QMACS: QMACS, Inc. is a privately held corporation dedicated to optimizing revenue cycle management and practice operations. Our expertise and commitment to excellence help our clients improve productivity and manage patient loads effectively. Join us and be a part of a company with a legacy of success and innovation in the medical billing industry.