QSM HEALTH SYSTEMS, INC

Ensure that patient’s health care benefits cover required visits and or procedures.  Obtain authorizations and referrals when appropriate.  Make certain patient demographics entered in our system are current and accurate. Experience with Medicare SPOT, Palmetto GBA, Availity, United, and Medicaid is a plus.

Specific Responsibilities

Works directly with nursing facilities and doctor’s offices to attain face sheets, referrals and/or authorizations.

Re-verify current authorizations using monthly reports.

Verify insurance information utilizing various web portals and/or by contacting insurance companies directly via phone.

Enter patient information in the EMR daily.

Coordinate home visits with various providers.

Re-verify current authorizations using monthly reports.

Requirements

A preference of two years minimum working experience in the same or a similar role, but open to entry level as well.

Note: You will have the choice of whether you would prefer to work from home or utilize the office space.

 Although the position is remote, you must live in Florida. Preferably within a commutable distance to the office in Hollywood, Fl.

*Any application without a resume will not be considered*

About Us

Quality Surgical Management (QSM) is the premier wound care provider since 1991. We are currently seeking to fill a full-time position. We are looking for someone who is ready to join our team of skilled and dedicated staff. This opportunity is for our Hollywood Beach location at 3800 S Ocean Drive Suite 209 Hollywood FL, 33019 in the Hallmark building. Qualified candidates must be detailed oriented and organized, with a strong sense of communication and work ethics.

We offer a competitive salary and benefits package which includes health insurance and 401(K) upon completion of the 90-day probationary period. Qualified candidates will be contacted to schedule interviews with our management staff.