Description
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.
QMC is headquartered in Pittsburgh, PA. This position is remote.
Summary:
The PreBill Specialist I works under the direct supervision of the Billing Manager in cooperation with other staff providing pre-billing and coding services. Responsible for accurately and efficiently verifying prebill information, verifying patient demographics, payor information, and transport modifiers before coding. Responsible for ensuring that all of the prebill information is accurately verified and entered in the claim before the coding process. This role is critical in maintaining overall quality goals for transport billing.
To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with co-workers, management, and insurance companies will form a large portion of the job.
Responsibilities:
Utilize systems to locate insurance and patient demographic information
Moving claims through various workflows if patient information cannot be located or retrieved
Enter patient information into the claim when appropriate using data entry and attention to detail skills
Follow the QMC process and guidelines to apply appropriate modifiers and payors for the patient transport
Using the telephone to call facilities like hospice or assisted living to confirm appropriate transportation information
Moving claims to the appropriate workflow once patient, payor, and modifier information is correct
Consistently achieve or exceed the daily production metrics and quality goals
Requirements
Qualifications:
High School Diploma or equivalent is required
Certification in Medical Billing and Coding preferred but not required
2+ years of customer service experience is preferred
1+ years of experience as a Medical Biller or similar role preferred
1+ years of Revenue Cycle Management is preferred
Certified Ambulance Coder Certification, Certified Coder, and/or Ambulance Billing experience preferred
Working knowledge of health insurance verification and a basic understanding of major payor groups like Medicare, Medicaid, and commercial insurances preferred
Working knowledge of various state regulations and payor guidelines is preferred
Knowledge of commercial payor databases
Strong computer skills with a willingness to learn our billing platform
The ability to identify problems and escalate issues appropriately to the direct supervisor or manager
The ability to think independently and work as a part of a team
Ability to establish and maintain effective working relationships with patients, clients, and coworkers
Benefits:
Comprehensive & competitive benefit package
Generous 401k Company Match Program
Profit Sharing Potential
Bonus Program Potential
Flexible work schedules
Paid time off and holidays
