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Medical Billing Specialist

Apply Job ID 18256 Date posted Nov. 13, 2020 Location Sussex, Wisconsin Full Time / Part Time Full time (FT)


Nearly thirty years ago, QuadMed was born out of the idea that health care should be simple. By providing employers and their employees with quality onsite and near-site primary care, with a focus on wellness and prevention, we make a culture of health and well-being possible. Our caregivers working as a team, and with ample appointment times, have the opportunity to build meaningful patient relationships that produce measurable health improvement results. We’re proud to be a nationally recognized leader committed to transforming health care for the better. At QuadMed you can showcase your skills and your passion for patient care.

QuadMed is seeking a detail oriented Billing Specialist to join our team in Sussex, WI. Reports directly into the Revenue Cycle Supervisor and is responsible for working in our EMR alongside our billing team to help manage claim edits and errors, and resubmissions to our TPA’s on behalf of our clients.  The billing specialist will handle inbound calls to accept payments and answer all billing questions, while providing outstanding customer service to the patient.  

Key Responsibilities

  • Assesses claims to verify correct billing
  • Completes assigned systematic checks to ensure all billable claims are transmitted and processed in a timely manor
  • Post remits from third party payers
  • Verifies all systems are balanced at the end of the date of service
  • Corrects, both preemptively and post submission upon denial or rejection, claims errors
  • Follows up on unpaid claims within the standard revenue cycle timeframe
  • Works collaboratively with management to identify system and TPA issues to evaluate trends
  • Maintains a solid understanding of current medical billing rules, laws and regulations


  • Minimum 2 years medical billing experience, and a background in EPIC required 
  • A working knowledge of; current medical billing, coding and collections rules and requirements, ability to work in a team environment, efficiently, and accurately, a strong understanding of healthcare compliance to regulations including HIPAA, OIG, and AMA rules and guidelines.


  • High school diploma required

Certificates, Licenses, Registrations

  • Certified Billing Professional (CBP) preferred

Knowledge, Skills & Abilities

  • Proven ability to work successfully with diverse populations and demonstrated commitment to promote and enhance diversity and inclusion
  • A working knowledge of insurance guidelines
  • Effective communication skills
  • Strong ethics and a high level of personal and professional integrity

Additional Company Information 
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more. 
QuadMed and Quad is proud to be an equal opportunity employer and values diversity. We are committed to creating a place of belonging — a space where employees do not need to sacrifice who they are to exist and grow in our workplace. QuadMed and Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. QuadMed and Quad also prohibits harassment of applicants and employees based on any of these protected categories.
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