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AR Quality Specialist 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
Location MedExpress Headquarters  
Full-Time/Part-Time Full-Time  
Category Finance - Billing  


General Position Summary

Responsible for managing the insurance accounts recievables post claims processing to include edits, rejections, and denials.  Accurate claims submission with payee guidelines, timely account follow up and assistance with denial management to ensure the financial viability of the urgent care clinic locations.  Opportunities available in Pittsburgh or Morgantown.



MedExpress Core Responsibilities

  • Has a contagious and positive work ethic, inspires others, and models the behaviors of Genuine, Caring, Friendly.
  • Demonstrates effective verbal and written communication that is clear, well-organized, and demonstrates an understanding of audience needs.
  • Through genuine and positive communication, makes each customer feel informed, understood, and special.
  • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
  • Is able to keep up in the MedExpress environment by facing tasks and challenges with energy and passion.
  • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
  • Adherence to standards of business conduct and compliance.



Major Responsibilities

1.  Work with Revenue Cycle team to ensure proper policies are being followed for correct claim adjudication.

2.  athenaNet Collector super user

3.  Ensure proper onboarding and continuous education of all  Revenue Cycle line staff

4.  Work collaboratively with other MedExpress departments such as Operations, Contracting, Training, Compliance to ensure optimal outcomes and

      drive process improvement

5.  Responsible for analyzing workflows and systems impacting the Revenue Cycle and driving continuous quality improvement

6.  Knowledge of  insurance AR, payor and patient refund process, collection process and contracting specific to MedExpress

7.  Other duties as assigned.


Position Requirements


Knowledge, Skills, Abilities and Other Qualifications

1.  Solid knowledge of the revenue cycle process.

2.  Experience working with Revenue Cycle software, athenaNet preferred, but not required.

2.  Knowledge of CPT and ICD codes, and HIPAA.

3.  Ability to understand and apply knowledge of established insurance contracts, understanding of explanation of benefits, payment posting, charge

     entry, and refund process.

4.  Strong organizational  skills and ability to multi-task in a fast paced environment.

5.  Demonstrate flexiblity to meet the needs of the Revenue Cycle  in regards to changes in work volume, planned change, scheduling changes, etc.

7.  Experience identifying payor trends around changes in expected reimbursement and denials.



Working Conditions

Non-Center Based.  Requires:   the ability to sit at a computer for hours at a time (with some bending and stooping) and travel to Centers (if so, the noise level is moderate and there is potential for exposure to infectious diseases and blood-borne pathogens).


About the Organization MedExpress's vision summarizes the business model and offers insight into the important culture that drives the company's ability to provide a customer experience that is unsurpassed in existing, and other, markets.

Highly-trained professionals are a hallmark at MedExpress. The MedExpress model attracts the best in the business. We carry high expectations for our team:

A 110% commitment to customer service.
Teamwork and patient care require professionalism at all times.
Attention to detail isn't just a statement...we demand it.

Live the vision - Great Care. Fast.®

We offer a competitive salary commensurate with experience and a comprehensive benefits program.  
Exempt/Non-Exempt Exempt  

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