Accounts Receivable Manager Job at Quick Med Claims (QMC), Pittsburgh, PA

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  • Quick Med Claims (QMC)
  • Pittsburgh, PA

Job Description

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.

Summary

The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements. The ARM Manager will conduct huddles and team meetings as needed. Additional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The ARM Manager is also responsible for understanding all aspects of the billing and accounts receivable process.

Essential Duties & Responsibilities

  • Maintain staffing schedules to ensure proper oversight for each account.
  • Manage employee performance through biweekly one-on-ones, annual reviews, and system reporting.
  • Coordinate workflow between teams and interface with internal and external resources.
  • Assist with interdepartmental issues to help coordinate problem-solving in an efficient and timely manner.
  • Collaborate with internal departments to identify and update efficient processes.
  • Develop AR policies, procedures, and KPIs to support company revenue cycle goals.
  • Identify deficiencies with employees and ensure the proper training is provided.
  • Support employee development through additional training specific to ARM.
  • Manage all aspects of the ARM process and the ARM Specialists.
  • Communicate account-specific changes to team members.
  • Conduct group meetings and huddles; may occasionally participate in client-facing meetings.
  • Perform quality checks on assigned claims.
  • Perform monthly reviews and process write-offs for assigned accounts.
  • Prepare and deliver employee productivity reports monthly, as well as annual performance reviews.
  • Analyze AR trends to identify process gaps, payer issues, or team training needs.
  • Oversee day-to-day operations and long-term strategy for the Accounts Receivable department.
  • Lead cross-departmental efforts to improve collections, reduce denials, and enhance payer communication.
  • Mentor AR leads and specialists, fostering accountability and professional growth.
  • Manage reporting cadence for leadership, including aging, denial metrics, and appeal outcomes.
  • Drive technology adoption and process automation within AR workflows.
  • Obtain ambulance biller certification within 6 months of employment (provided through QMC).

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

  • BA/BS degree preferred, or 3–5 years of equivalent experience in healthcare.

Experience

  • 2–3 years of collections, billing, and/or claims experience.
  • Minimum of 2 years of supervisory experience preferred.
  • Demonstrated mastery of billing and accounts receivable procedures, as well as compliance regulations.
  • Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and timely filing limits.
  • Familiarity with ICD-10, HCPCS, and general medical terminology.
  • EMS billing experience strongly preferred; experience in other medical specialties will be considered.
  • Proficiency with various web platforms, including billing software and payer portals.
  • Prior customer service experience, with the ability to work collaboratively with other departments and team members.
  • Minimum of 3–5 years’ experience in healthcare claims processing, billing, or accounts receivable.

Knowledge, Skills, Abilities

  • Intermediate computer skills, including proficiency in Microsoft Word, Excel, and Outlook.
  • Working knowledge of the full revenue cycle management process.
  • Detail-oriented with strong organizational skills.
  • Strong written and verbal communication skills.
  • Ability to lead and motivate a team.
  • Positive attitude with strong interpersonal skills.
  • Ability to create agendas, prepare presentations, and conduct meetings.
  • Strong investigative and research skills, with the ability to resolve complex billing issues.
  • Effective critical thinking and analytical abilities.
  • Ability to work independently in a fast-paced, adaptive environment with minimal supervision.
  • Strong customer service skills and experience.

Job Tags

Work from home,

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