What are the responsibilities and job description for the Billing Lead position at Quick Med Claims?
Quick Med Claims (QMC) recently named Top Places to Work in the Healthcare Industry in 2021 and was named a finalist by the Pittsburgh HR Association for QMC's Innovative People Practices 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.
This position is in Pittsburgh, PA; however, we are open to consider remote candidates based on location and experience.
The Billing Lead plays an important and fundamental ensuring claims are coded and billed accurately and timely. The Billing Lead must maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims. Must be detailed oriented and driven by the highest quality standards. Serve as the Billing group supervisor and subject matter expert (SME) and is responsible for specific Billing workflows that require special attention and research.
Responsibilities:
- Ensure claims are codded and billed accurately
- Serve as billing group supervisor and subject matter expert
- Review and process feedback reports and manage portal and supervisor review workflows
- Reviews and prepares the following reports and send to Client Success Rep to send to client for approval and/or information:
- Collection Batches
- Hold for Documentation Reports
- Refund Report
- Attorney Requests and Invoice
- Review and reconcile monthly trip counts for assigned client group
- Review and approve FHA
Qualifications:
- High School Diploma required
- 3 years EMA Billing preferred
- Very detailed-oriented
- Strong, working knowledge of EMS billing rules and regulations and understanding of health insurance payor groups (Medicare, Medicaid, Commercia)
- Ability to identify problems and escalate issues appropriately to a Billing Lead
- Ability to quickly adapt, learn and retain changing rules and specifications by clients, payors, states and MAC regions
- Quality-focused and driven by process
- RescueNet or Tritech billing platform knowledge preferred
Benefits:
- Comprehensive & competitive benefit package
- Generous 401k Company Match Program
- Profit Sharing Potential
- Bonus Program Potential
- Flexible work schedules
- Paid time off and holidays
