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Medical Billing AR Specialist- No Surprises Act & Federal IDR- Remote
QMACS, Inc. is a well-established medical billing company headquartered in Richardson, Texas with over 30 years of experience in the healthcare industry. Our fully remote team supports clients nationwide, with employees working across more than 25 states.
We are currently seeking an experienced Accounts Receivable Specialist with specific knowledge of the No Surprise Act (NSA) and Federal Independent Dispute Resolution (IDR) process to join our team.
This position will be responsible for managing and resolving outstanding medical claims, with a particular focus on out-of-network claims subject to the No Surprises Act and Federal IDR process. The ideal candidate will have hands-on experience with medical billing and insurance follow-up, as well as demonstrated experience navigating Federal IDR disputes, payer negotiations, and applicable deadlines and requirements.
Duties:
- Monitor, research, and resolve outstanding medical claims
- Identify claims that may qualify for the No Surprises Act and Federal IDR process
- Initiate and track payer negotiations and Federal IDR disputes
- Follow up on denials, underpayments, outstanding balances, and IDR determinations
- Maintain accurate documentation of claim activity, disputes, and payer communication
- Ensure applicable Federal IDR deadlines and requirements are met
- Serve and protect sensitive information by adhering to professional standards, company policies and procedures, federal, state, and local requirements and standards.
Requirements:
- Previous medical billing/accounts receivable experience required
- Hands-on experience with the No Surprises Act and Federal IDR process strongly preferred
- Experience with insurance follow-up, denials, underpayments, and out-of-network claims
- Strong understanding of medical claims, EOBs/ERAs, and payer reimbursement
- Excellent organization, communication, and attention to detail
- Ability to work independently and manage multiple claims and deadlines in a fully remote environment
We are a privately held medical billing company based in Richardson, Texas, providing comprehensive revenue cycle management services to healthcare providers nationwide. With over three decades of industry experience, our team specializes in optimizing reimbursement, improving operational efficiency, and supporting providers through ever stage of the billing process.
Our organization has grown significantly since transitioning to a fully remote workforce, and we are proud to employ talented professionals across more than 25 states.
