Billing Specialist - Enterprise

We are looking for a dedicated and reliable Billing Specialist to join our team. The ideal candidate will play a key role in ensuring the accurate and timely processing of ambulance claims, collaborating with insurance companies, and maintaining communication with various agencies.

Key Responsibilities:

• Bill Ambulance Claims: Process and submit accurate ambulance claims for payment
• Verify Insurance: Ensure insurance coverage is in place for all transport services and verify eligibility
• Correct Rejected Claims: Review and correct rejected claims at Clearinghouse for resubmission
• Work Denied Claims: Investigate and resolve denied claims, ensuring proper documentation and resubmission when necessary
• Mail Correspondence: Send out necessary billing statements, notices, and other relevant mailings to patients and agencies
• Answer Phones: Provide excellent customer service by answering billing-related inquiries from patients and agencies
• Take Bill Payments: Process patient payments and provide payment updates
• Answer Billing Questions: Respond to inquiries regarding billing status, charges, and insurance coverage
• Schedule Transports: Coordinate with the scheduling team to ensure proper billing for scheduled ambulance transports
• Manage Accounts for Multiple Agencies: Oversee billing and documentation for multiple client agencies
• Communicate with Agencies: Coordinate with agencies for required documents and information related to claims
• Follow-up on Unpaid Ambulance Claims: Track and follow up on unpaid claims to ensure timely reimbursement
• Communicate with Insurance Companies: Work directly with insurance providers to follow up on claim statuses and resolve issues
• Maintain Prior Authorizations: Ensure that prior authorizations with Medicare and other payers are properly maintained and updated

Qualifications:

• Education: High School Diploma or equivalent required
• Experience: Prior experience in medical billing, particularly in ambulance services, is highly preferred

Skills:

• Ability to self-start and work independently with minimal supervision
• Strong multitasking abilities, capable of managing multiple accounts and priorities
• Exceptional attention to detail, ensuring accuracy in all billing and documentation processes
• Familiarity with medical terminology and billing codes
• Proficiency in ICD-10 coding
• Knowledge of Medicare, Medicaid, and commercial payer systems
• Strong computer literacy, including a high level of proficiency in Google Suite and billing software

This is a list of current responsibilities. While thorough, it may not be comprehensive. Additional tasks may be assigned as necessary.