Credit Balance Analyst II

2 weeks ago

Pittsburgh, Pennsylvania, United States Quick Med Claims Full time
Job Description

Quick 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 commitment to compliance and efficiency positions QMC as the preferred partner for emergency medical transportation providers.

Location: This position is remote.

Role Overview

The Credit Balance Analyst II plays a crucial role in comprehending payor requirements and contractual obligations to ascertain the appropriate course of action. This position necessitates a keen ability to accurately assess payment postings, adjustments, and charges.

Key Responsibilities

  • Execute job duties in alignment with company standards and applicable state and federal regulations.
  • Conduct daily reviews of refund requests to validate their legitimacy and process them accordingly.
  • Identify and communicate overpayment and adjustment trends to management.
  • Prepare necessary refund documentation for payors and providers.
  • Upload relevant documents and information to payors and/or clients.
  • Review and follow up on refund and offset requests to ensure timely completion.
  • Achieve or surpass established productivity benchmarks.
  • Contribute to initiatives aimed at enhancing credit balance processes.
  • Ensure adherence to credit balance review protocols.
  • Manage daily credit balance workloads for both onshore and offshore teams.
  • Collaborate with the Accounts Receivable management team.

Additional Responsibilities:

  • Comply with all QMC HIPAA privacy policies and procedures, ensuring the confidentiality and security of sensitive patient information.
  • Maintain consistent adherence to company attendance policies.

Qualifications:

Education:

  • High School Diploma or equivalent required.
  • Associate's degree or equivalent preferred.

Experience:

  • Minimum of 2 years of experience in healthcare claims, billing, and collections.
  • Basic understanding of insurance and claims processing.

Licenses, Certifications & Clearances:

  • Certified Ambulance Coder (CAC) preferred, but not mandatory.

Knowledge, Skills, and Abilities:

  • Proficient in computer applications, including Microsoft Word, Excel, and Outlook.
  • Exceptional verbal and written communication skills.
  • Strong interpersonal, organizational, and problem-solving abilities.
  • Capacity to thrive in a fast-paced environment.
  • Able to work independently with minimal supervision.
  • Prior experience in collections or medical billing, with a foundational understanding of ICD10, HCPCS, and medical terminology is advantageous.

Other Duties:

  • Perform other related tasks as assigned.

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