Medical Billing A/R Specialist - Pending Claims - Remote

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