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Enrollment Specialist

2 months ago

Pittsburgh, United States Quick Med Claims Full time

Job Type

Full-time

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 Enrollment Specialist is responsible for assisting clients with their enrollment, updates, and interactions with clearinghouses. The Enrollment Specialist will work with insurance payors and facilitate updates through insurance payor portals.

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.
  • Manages and owns all aspects of enrollment, credentialing, re-validation process for new and established clients, by transmitting clearinghouse enrollment applications.
  • Tracking and organizing responses, navigating, and monitoring various online portals.
  • Responsible client payor credentialing.
  • Provides reporting on status of client applications and due dates.
  • Maintains detailed records, files, and applications as appropriate.
  • Representing clients to government payor programs and serving as the organization's representative on various enrollment processes and enrollment applications.
  • Respond to significant enrollment issues with clients; assist client in addressing/resolving problems related to credentialing/re-validation; educate client partners and team members on policies and procedures for credentialing and re-validation.
  • Actively participates in new client kick-off calls and Client Services team meetings.
  • Updates address and Pay-To changes in various portals.
  • Create and maintain an organized enrollment filing system; create and ensure quality of documentation and execution for all processes.
  • Perform internal research and document gathering across internal offices.
  • Utilizes government-based websites to glean information about clients' business enrollment histories.
Requirements

Education & Experience:
  • Bachelor's Degree preferred
  • Experience with Revenue Cycle Management with EMS experience preferred
  • Experience with clearinghouses such as Waystar and Change Healthcare
Knowledge, Skills, Abilities:
  • Highly motivated self-starter, independent thinker capable of working both independently and within a collaborative team environment
  • Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint)
  • Effective communicator with strong written and verbal skills
  • Strong analytical, organizational, and time management, and innovative and creating thinking skills
  • Knowledge of billing/customer service programs and databases, or the ability to learn new software quickly
  • Innovative, creative thinking skills to ensure the organization is providing a cutting-edge client experience
  • Must be a problem solver with strong analytical skills
  • Strong working knowledge of various credentialing and re-validation processes
  • Cultivate and maintain long-term relationships with clients and colleagues
  • Knowledge of EDI and ERA
  • Working knowledge of MS Teams and Zoom platforms
Benefits:
  • Comprehensive & competitive benefit package
  • Generous 401k Company Match Program
  • Profit Sharing Potential
  • Bonus Program Potential
  • Flexible work schedules
  • Paid time off and holidays