Ambulance Biller

Job Description

First Rescue Ambulance is seeking on on-site ambulance biller. Must be able to work on-site at our Irwindale location. Ambulance billing experience is required.

RESPONSIBILITIES:

Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues

Responsible for escalating concerns regarding questionable paperwork to appropriate management

Contact payers to verify claim status via phone or web and follow up on unpaid claims

Process appeals on aged insurance claims/denials

Ability to analyze, identify and resolve issues which may cause payer payment delays

Identify and resolve claim edits through understanding of billing guidelines and payer requirements

Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate

Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable

Review all EOBs for correct payment, deductible, adjustments, and denials

Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment

Reconcile account balances, and verify payments are applied correctly

Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner

Follow up on appeals/corrected submitted claims

Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding

Review and audit customer service account inquiries

Receive inbound/outbound customer service call

Provide excellent customer service to all patients, Insurances & Facilities

Review and correct all rejections in clearing house

Perform all other related duties as assigned

QUALIFICATIONS:

Must have 2-3 years of medical billing experience (required)

Ambulance billing experience (preferred)

Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation

Proficient in CPT and ICD-10 coding

Ambulance/Medical billing certification or diploma preferred

Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred

Excellent organizational skills and the ability to multitask in a fast-paced environment

Analytical - collects and researches data; uses intuition and experience to complement data

Job Posted by ApplicantPro

Full-time