Payment Workflow Specialist I

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.

This position is 100% work from home.

We are seeking a detail-oriented and organized individual to join our team as a Payment Workflow Specialist. In this role, you will be responsible for reviewing trip records to ensure accuracy, including verifying payment contractual agreements, payer details, and claim approvals.

The ideal candidate will have experience in claims processing, strong analytical skills, and the ability to identify and resolve discrepancies efficiently.

Essential Duties & Responsibilities

• Review trip records to ensure payments are posted correctly and align with contractual agreements and patient responsibility obligations.
• Identify and correct errors in payment posting or patient responsibility, documenting all changes for record-keeping and future reference.
• Review payments for trips sent to collections, ensuring accurate handling, proper recording in the system, and appropriate reporting to the agency.
• Conduct quality assurance checks on payment posting processes, including reviewing NSA trips and any trips flagged for write-offs.
• Investigate missing payments, determine the cause, take corrective actions, and update payment records accordingly.
• Respond to emails related to trip inquiries from internal and external associates.
  
  

Other 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.
• Performs other related duties as assigned.
  
  

Requirements

Education:

• High school diploma or equivalent
  
  

Experience

• 1–2 years of experience in medical billing and basic accounting principles preferred but not required.
  
  

Knowledge, Skills, Abilities

• Strong experience with payment posting, deposit reconciliation, and refund research.
• Proficiency in using Practice Management Systems (PMS).
• Ability to navigate various websites efficiently for remittance retrieval.
• Skilled in 10-key data entry (minimum 10,000 keystrokes per hour).
• Ability to type at least 35 words per minute (WPM).
• Proficiency in Microsoft Office, including Excel (basic functions such as adding/removing rows/columns, AutoSum, and copying worksheets).
• Strong attention to detail and accuracy in financial transactions.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Excellent time management and multitasking skills to handle multiple priorities.
• Strong organizational skills with the ability to meet deadlines.
• Experience balancing accounts and reconciling payments.
• Strong communication skills, with the ability to interact effectively with clients, vendors, and internal teams.
• Ability to maintain confidentiality and handle sensitive financial data with discretion.
• Capability to work efficiently in a fast-paced environment.