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 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. QMACS has spent twenty-four 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.