Credit Balance Specialist II
4 weeks ago
QMC is headquartered in Pittsburgh, PA. This is a remote position.
Job Purpose/Summary
The credit balance specialist II is responsible for understanding payor requirements and contracts to determine appropriate next steps. The credit balance specialist II should also be able to accurately review and understand payment postings, adjustments and charges.
Essential Duties & Responsibilities
- Perform job responsibilities and tasks according to company standards as well as state and federal guidelines
- Review refund requests on a daily basis to ensure validity of request and process accordingly
- Identify and share overpayment/adjustment trends with leadership
- Prepare appropriate refunds forms for payor/provider
- Upload appropriate documents and information to payor and/or client
- Review and follow up on refund/offset requests to ensure completion in a timely manner
- Meet or exceed defined productivity standards
- Contribute to process improvement processes for credit balances.
- Ensure compliance with credit balance review processes
- Manage daily work queues of credit balances for both onshore and offshore teams
- Works under the Account Receivable management team
- 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.
Minimum Qualifications
Education
- High School Diploma or equivalent required
- Associates degree or equivalent preferred
- Minimum 2+ years of healthcare claims, billing & collection experience
- Basic understanding of insurance/claims processing
- Certified Ambulance Coder (CAC) preferred, not necessary
- Strong computer skills, including Microsoft Word, Excel and Outlook
- Excellent verbal and written communication skills
- Must have good interpersonal, organizational and communication skills
- Must have good problem-solving skills
- Ability to work in a fast-paced environment
- Able have the ability to work with minimal supervision
- Prior collections or medical billing experience with basic understanding of ICD10, HCPCS and medical terminology is preferred.
- Performs other related duties as assigned.
-
Credit Balance Specialist II
4 weeks ago
Pittsburgh, United States Quick Med Claims Full timeJob DescriptionJob DescriptionDescription: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...
-
Credit Balance Analyst II
1 week ago
Pittsburgh, Pennsylvania, United States Quick Med Claims Full timeAbout Quick Med Claims (QMC)Quick Med Claims (QMC) stands as a prominent authority in the realm of emergency medical transportation billing and reimbursement. Our mission is to deliver services that comply with all relevant billing and reimbursement regulations while optimizing the recovery of allowable reimbursements for our clients. This dedication to both...
-
Credit Balance Analyst II
7 days ago
Pittsburgh, Pennsylvania, United States Quick Med Claims Full timeAbout Quick Med Claims (QMC)Quick Med Claims (QMC) stands as a premier entity in the realm of emergency medical transportation billing and reimbursement. Our dedication lies in delivering services that not only comply with all relevant billing and reimbursement regulations but also optimize the recovery of permissible reimbursements for our clients. This...
-
Credit Balance Analyst II
7 days ago
Pittsburgh, Pennsylvania, United States Quick Med Claims Full timeAbout Quick Med Claims (QMC)Quick Med Claims (QMC) stands as a prominent authority in the field of emergency medical transportation billing and reimbursement. Our dedication lies in delivering services that comply with all relevant billing and reimbursement regulations while optimizing the collection of permissible reimbursements for our clients. This...
-
Credit Balance Analyst II
2 weeks ago
Pittsburgh, Pennsylvania, United States Quick Med Claims Full timeJob DescriptionQuick Med Claims (QMC) stands as a prominent authority in the realm of emergency medical transportation billing and reimbursement. Our organization is dedicated to delivering services that adhere to all relevant billing and reimbursement regulations while optimizing the recovery of permissible reimbursements for each client. This unwavering...
-
VP, Credit Risk II – Public Finance
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the...
-
VP, Credit Risk II
2 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets.Every day around the globe, our 50,000+ employees bring the power of their perspective to the...
-
VP, Credit Risk II – Public Finance
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the...
-
VP, Credit Risk II
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table...
-
VP, Credit Risk II
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table...
-
Investment Risk Analysis Specialist II
1 week ago
Pittsburgh, Pennsylvania, United States The PNC Financial Services Group, Inc. Full timeINVESTMENT RISK ANALYSIS SPECIALIST IIThe PNC Financial Services Group, Inc. is looking for an Investment Risk Analysis Specialist II to join our Market Risk Management team. This role is based in Pittsburgh, PA, and involves conducting sophisticated quantitative and financial assessments in the domains of balance sheet oversight, capital markets,...
-
VP, Credit Risk II – Public Finance
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the...
-
VP, Credit Risk II – Public Finance
1 week ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the...
-
VP, Credit Risk II
3 weeks ago
Pittsburgh, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world's financial system we touch nearly 20% of the world's investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to the table...
-
Grants and Contracts Specialist II Post
2 days ago
Pittsburgh, Pennsylvania, United States University of Pittsburgh Full timeJob SummaryThe University of Pittsburgh is seeking a highly skilled Grants and Contracts Specialist II Post to join our team. As a key member of our financial operations team, you will be responsible for the financial oversight of CTSA awards, ensuring accurate and timely financial reporting, and providing exceptional customer service to our stakeholders.Key...
-
Corporate Credit Manager
2 weeks ago
Pittsburgh, United States The Ladders Full timeThis is an exempt salary position where the incumbent will work collaboratively with Finance, Accounting, Sales, and Operations to develop and maintain strong credit relationships with the commercial credit portfolios of the organization. This position will be responsible for carrying out sound credit policies and procedures including administering of all...
-
Credit Card Product Specialist
3 weeks ago
Pittsburgh, United States Dollar Bank Full timeDollar Bank’s Marketing department is hiring for a Credit Card Product Specialist. You will be responsible for managing all payment product initiatives to achieve marketing sales and profitability goals. Your primary focus is to research, evaluate, and improve product performance for retail and business debit cards, credit cards and mobile payments. You...
-
VP, Credit Risk II
2 weeks ago
Pittsburgh, PA, United States BNY Full timeCredit Risk II, Public Finance / Not-for-Profit Credit Risk At BNY, our culture empowers you to grow and succeed. As a leading global financial services company at the center of the world’s financial system we touch nearly 20% of the world’s investible assets. Every day around the globe, our 50,000+ employees bring the power of their perspective to...
-
Ophthalmic Services Specialist II
2 weeks ago
Pittsburgh, Pennsylvania, United States UPMC Full timePosition Overview:The Ophthalmic Services Specialist II is essential in delivering comprehensive ophthalmic support during community outreach initiatives. This role enhances the capabilities of an Ophthalmic Technician III, requiring specialized expertise and flexibility to effectively cater to patients in various environments.Key Responsibilities:Setup and...
-
Credit Risk Assessment Specialist
2 weeks ago
Pittsburgh, Pennsylvania, United States First National Bank of Pennsylvania Full timePosition Overview:The Credit Risk Analyst plays a crucial role in supporting the Credit Risk and Reporting Manager. This position focuses on various responsibilities including asset quality reporting, concentration analysis, allowance for credit loss, credit monitoring, stress testing, and the ongoing evaluation of data quality across the organization. The...