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

companyQMACS
locationRichardson, TX, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job Description

QMACS, Inc. is a well-established medical billing company located in Richardson, Texas. We are expanding our operations in Waco and are looking for professional, passionate and energetic employees! Currently we are seeking several full-time A/R Specialists for our Pending Claims Department. Previous Medical Billing Experience Preferred. Remote/Hybrid/In Office

Job Purpose:

To generate revenue by monitoring and pursuing payment and/or resolution on outstanding medical claims. Following company protocol to ensure claims are reviewed and worked in a timely manner while also verifying coding and payment accuracy according to client needs and specifications.

Duties:

  • Perform follow-up actions with insurance companies to ensure timely and full payment
  • Researching and submitting corrected claims and/or appeals as necessary
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Processing and documentation of adjustments, including write-offs, transfers and charge backs across several platforms
  • Provides additional information to client to facilitate collection.
  • Analyze insurance reimbursement receipts
  • Serve and protect sensitive information by adhering to professional standards, company policies and procedures, federal, state, and local requirements and standards.

Requirements

  • Previous Medical Billing Experience Required
  • Must Understand Medical Billing Terminology & Processes
  • Microsoft Excel Experience Required
  • Detailed & Well Organized
  • Ability to Analyze Information
  • Excellent Documentation Skills
  • Good Time Management Skills
  • Quality Results Focused
  • General Math Skills

Company DescriptionA privately held corporation based in Richardson, Texas; QMACS, Inc. focuses on Revenue Cycle Management, Practice Management, and EHR Training & Implementation services for a variety of specialties and practice sizes. The company adheres to a function based philosophy that provides a thorough analysis of each claim processed for maximum revenue retention. QMACS's experience allows for a complete understanding of office flow to help physicians and their staff establish processes that increase staff productivity and better manage patient load.
QMACS has spent over thirty years perfecting the detailed processes required to effectively capture revenue for our clients. We are a company with the technological and financial resources not only to maintain, but to stay ahead of the ever changing trends and governmental mandates; while keeping the cost burden off of our clients' shoulders.

Company Description

A privately held corporation based in Richardson, Texas; QMACS, Inc. focuses on Revenue Cycle Management, Practice Management, and EHR Training & Implementation services for a variety of specialties and practice sizes. The company adheres to a function based philosophy that provides a thorough analysis of each claim processed for maximum revenue retention. QMACS's experience allows for a complete understanding of office flow to help physicians and their staff establish processes that increase staff productivity and better manage patient load. \r\nQMACS has spent over thirty years perfecting the detailed processes required to effectively capture revenue for our clients. We are a company with the technological and financial resources not only to maintain, but to stay ahead of the ever changing trends and governmental mandates; while keeping the cost burden off of our clients' shoulders.

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