Compliance Specialist

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Quick Med Claims, LLC

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Emergency Medical Services • Billing and Reimbursement • Revenue Cycle Management • Air Medical Billing • Ground EMS Billing

201 - 500

Description

• This position is 100% remote. • Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement. • The Compliance Specialist I will be primarily responsible for regular auditing claims to verify compliance with regulatory and/or payor requirements and QMC policies. • Responsible for completing documentation of internal and external audit results and reporting the information to the Compliance team and other QMC departments. • Responsible for understanding and enforcing compliance with HIPAA privacy regulations and may also conduct privacy audits to identify and mitigate risk areas. • Responsible to create and deliver educational materials when there are new or changed regulations/requirements or when targeted compliance training is needed. • All members of the Compliance Department are responsible for helping to design and implement QMC’s governance, risk management and compliance efforts.

Requirements

• High School Diploma or equivalent required; Associates degree or equivalent preferred • Minimum two years as a Billing Specialist with experience in healthcare • Prior experience conducting audits or quality reviews is preferred • Prior experience creating educational tools or training modules is preferred • Emergency Medical Transportation Billing Industry experience preferred • Certified Ambulance Coder (CAC) from NAAC preferred • Proficient in Microsoft Office • Strong Customer Service focus • Ability to communicate effectively across the organization and with external parties such as clients, auditors, health insurance carriers, providers, etc. • Ability to work collaboratively at all levels of the organization • Strong time management skills and the ability to multi-task in a fast-paced environment • Knowledge of a variety of insurance products and claims processing requirements, including federally funded programs like Medicare and Medicaid • Knowledge of HIPAA privacy regulations

Benefits

• Comprehensive & competitive benefit package • Generous 401k Company Match Program • Profit Sharing Potential • Bonus Program Potential • Flexible work schedules • Paid time off and holidays