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

Company DescriptionQMACS is a privately held corporation based in Richardson, TX, with over 30 years of experience in the healthcare industry. We specialize in revenue cycle management, practice management, and EHR training and implementation services for a wide range of medical specialties and practice sizes across the country.

At QMACS, we combine deep industry expertise with advanced technology to help our clients thrive in an ever-evolving regulatory and reimbursement landscape. Our strong financial and technological resources allow us to not only keep up with the latest changes in government mandates, but to stay ahead, reducing the administrative burden on our clients and empowering them to focus on patient care.

As a company, we are committed to innovation, integrity, and building long-term partnerships through exceptional service and results.