Billing Resolution Specialist I

Quick Med Claims, LLC; Pittsburgh (Allegheny County); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in emergency medical transportation billing is seeking a Billing Resolution Specialist I. This fully remote position focuses on ensuring accurate and timely claims coding and billing while adhering to strict compliance standards. The ideal candidate will possess strong attention to detail and problem-solving skills, with a solid understanding of EMS billing rules and health insurance payor groups. Join a team dedicated to maintaining the highest quality standards in billing, where your contributions will directly impact client satisfaction and operational success. If you're ready to make a difference in a supportive and dynamic environment, this opportunity is for you.

Qualifications

• 3+ years EMS Billing experience preferred.
• Certified Ambulance Coder (CAC) and QMC F10 Certified.

Responsibilities

• Review and manage workflows related to billing resolution.
• Participate actively in daily billing team huddles.
• Achieve daily performance and quality metrics.

Skills

Detail-oriented

Problem-solving skills

Knowledge of EMS billing rules

Adaptability to changing rules

Education

High School Diploma

Tools

RescueNet

Tritech

Job description

Join to apply for the Billing Resolution Specialist I role at Quick Med Claims, LLC

2 days ago Be among the first 25 applicants

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 makes QMC the partner of choice for emergency medical transportation providers.

The Billing Resolution Specialist (BRSI) plays an important role in QMC’s RCM process by ensuring claims are coded and billed accurately and timely. The BRSI 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 BRSI must be detail-oriented and driven by high-quality standards. The primary focus of the BRSI is resolving issues that prevent claims from being released to the appropriate payor.

This position is 100% work from home.

Maintaining the highest quality billing standards is critical to QMC achieving its overall quality goals and vision to be the trusted partner of choice, with 100% of our clients recommending us to a friend or colleague.

Responsibilities

1. Review and manage workflows including Deductible Management, Bad Addresses, SNF Calls, Patient Services, Insurance Captured, PCS, ZDBatch Failures, AOBs, Biller Attention Needed, ACE Exception Portal, Membership Checks, and for Danville, ALS Reports, ALS Release Schedule, JBA Manual Review, attaching DocStar documents, monitoring incoming faxes, manual claim entries, and authorization requests.
2. Participate actively in daily billing team huddles.
3. Achieve daily performance and quality metrics for billing resolution.

Other Responsibilities

• Adhere to all HIPAA privacy policies and procedures, maintaining confidentiality and security of patient information.
• Follow company attendance policies.

Minimum Requirements

• High School Diploma required.
• 3+ years EMS Billing experience preferred.
• Certified Ambulance Coder (CAC) and QMC F10 Certified.
• Knowledge of EMS billing rules, health insurance payor groups, and platforms like RescueNet or Tritech (preferred).
• Strong attention to detail, problem-solving skills, and ability to adapt to changing rules.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Accounting/Auditing and Finance