Maritime QA Coordinator

About the Role

The Maritime QA Coordinator is responsible for supporting our Maritime Program by reviewing medical bills for accuracy, compliance with regulatory and contractual guidelines, and adherence to medical coding standards. This role requires a strong understanding of healthcare billing, CPT/ICD-10 codes, and insurance claims processing.

In addition to quality assurance responsibilities, this position plays a key operational role in supporting maritime claim administration, including claim setup, documentation management, and coordination of administrative workflows. The coordinator must maintain knowledge of client workflows and special processing requirements to ensure bills are handled within agreed turnaround times (TAT).

This position requires the ability to make bill-level decisions with autonomy while considering client instructions, strategies, and jurisdictional limitations.

Key Responsibilities

The specific bullets listed below are subject to change based on Company needs. These bullets are intended to highlight core responsibilities but are not intended to be exhaustive.

• Perform claim setup and accurate data entry within internal systems.
• Manage documentation, including organizing, scanning, and uploading records to ensure proper file maintenance.
• Answer inbound phone calls related to maritime medical bills and payment inquiries.
• Coordinate outreach to obtain medical records, appropriate medical bills, and W-9 documentation.
• Schedule appointments as needed to support claim progression.
• Draft professional correspondence related to claims, billing, and administrative follow-ups.
• Communicate with providers, adjusters, and claims examiners to resolve billing issues.
• Maintain proper documentation and recordkeeping for audit trails.
• Stay current on changes in coding practices, billing regulations, and insurance guidelines.
• Communicate any found issues and recommend solutions to Manager and/or COO.
• Work on special projects, as assigned by Manager.

What We’re Looking For

• Experience in insurance, medical administration, or medical bill review (MBR) required
• Working knowledge of the OWCP fee schedule strongly preferred
• Demonstrated experience with claims processing and/or healthcare billing
• High level of attention to detail and accuracy
• Strong organizational and documentation management skills
• Excellent verbal and written communication abilities
• Ability to manage multiple priorities in a fast-paced environment
• Team-oriented mindset
• Medical coding knowledge or willingness to learn
• Familiarity with Medicare and other billing edits

Why Join Us?

This is an opportunity to play a key role in a growing organization, directly contributing to client satisfaction and organizational success. You’ll work in a supportive environment where accuracy, accountability, and collaboration are highly valued.

S1 Medical offers a competitive salary and comprehensive benefits package with this position.