Billing Specialist II

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 Billing Specialist II (BSII) plays an important and fundamental role in QMC’s RCM process by ensuring claims are coded and billed accurately and timely. The BSI must maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims. The BSII must be detailed oriented and driven by the highest quality standards. The BSII is a second level, a more experienced Billing Specialist who consistently performs as a top producer in daily production and quality metrics. Responsibilities: • Utilize Master Billing Guides and other process instructions to review PCR to ensure medical necessity, reasonableness. appropriate modifiers, level of service, ICD10 code and mileage • Complete the Billing quality scrub process • Review PCS for validity, if required • Review Medicare AOB, if required • If additional information is needed, place claim on appropriate schedule • Attends and actively participates in daily Billing team huddles • Consistently achieves Billing Specialist II performance and quality metrics Other Responsibilities: • Adhere to all QMC HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information. • Ensures consistent adherence to company attendance policies. Requirements Qualifications: • High school diploma or equivalent is required • Certified Ambulance Coder (CAC) • QMC F10 Certified • 2+ years of work experience in medical billing and coding preferably with EMS or ambulance claims required • 1+ years of experience navigating electronic and paper medical record systems required • 1+ years of experience preparing and submitting clean claims to various insurance companies required • 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) • Excellent verbal and written communication skills with a strong client service focus • Basic computer skills, such as sending emails, typing, and using spreadsheets • Exceptional time management skills with the ability to work independently and as a part of a team • Confidence to maintain the strictest confidentiality while adhering to all HIPAA guidelines and regulations Benefits: • Comprehensive & competitive benefit package • Generous 401k Company Match Program • Profit Sharing Potential • Bonus Program Potential • Flexible work schedules • Paid time off and holidays Apply tot his job Apply To this Job