Billing Specialist (Remote)

Posted 5 days ago

Worldwide

2-5 years experience

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Job Title: Billing Specialist

Division: Billing

Reports to: Billing Manager

Summary

Responsible for billing and collection processes for Ambulance Billing Network LLC and its clients. Under the direct and indirect supervision of the Director of Revenue Cycle, the Billing Specialist completes ambulance billing and coding, answers inquiries from insurance companies and patients, and explains all actions pertaining to the billing/accounting/collections processes.

Qualifications:

Required:

 High School Graduate/GED

 Certified Ambulance Coder

 Medical coding training and experience

 Familiar with Medicare laws and billing

Desired:

 Experience coding governmental payers

 Ambulance Industry experience

Essential duties and responsibilities:

Promotes, develops, and fosters the mission, vision, and values of Ambulance Billing Network LLC.
Provides the highest level of customer service to a wide variety of internal and external customers.
Manage and maintain Ambulance Billing Network billing process:

Verify completion of run reports daily and from the previous weekend.
Verify patient demographics, personal insurance information and completion of all required signatures.
Identify and separate ambulance runs into the type of billing necessary to expedite payment.
Enter necessary patient information into the billing system.
Determine appropriate level of service, confirm mileage, determine code, modifers and all other required information for a clean claim.
Submit all insurance, Medicare, and Medical Assistance claims.
Manage electronic storage of patient care reports and archived paper patient care reports.
Review account status routinely as required for each payer type; minimum of 20 days.
Complete Medicare, Medical Assistance, and Insurance reviews as needed.
Identify recurring denials and make necessary system changes to resolve them.
Identify and file probates, if necessary, with various county courthouses.
Assist customers with their account information.
File supplement or secondary insurance upon request of the patient.
Work with Zoll RescueNet to ensure the most efficient billing process.

Directs patient complaints to the Billing Manager for completion and filing.
Collects mail and routes appropriately.
Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment with the mission and values of Ambulance Billing Network LLC.
Creates and maintains billing and accounting policies and procedures along with and under the direction of the Director of Revenue Cycle.
Performs other duties as assigned.

Behavioral Competencies:

Strong written and verbal communication skills.
Team player with the ability to work independently.
Detail oriented with good follow-up.
Excellent organizational skills, demonstrated initiative, good judgment, and flexibility.
Demonstrates effective communication skills and effectively fosters relationships with others.
Approaches change as an opportunity for growth and development in self and others.
Fosters a commitment and understanding of the Ambulance Billing Network LLC. mission, vision, and values.
Provides the highest level of customer service to a wide variety of internal and external customers.

Working Environment:

Materials and Equipment Used:
Desktop computer,
Multi-line telephone
Fax, Copier, Printer
Other standard office equipment

Required Shifts/Schedule:

Hours must be flexible to meet the demands of the office, but would generally be 7:30am-4:30pm, Monday through Friday; however, this may vary depending on the work location.

General Environment: A fast-paced environment with multi-tasking, prioritizing, and frequent interruptions. Continuous interpersonal communication is required with managers, staff, patients, EMS personnel and the public.

RESOURCE MANAGEMENT SYSTEMS INC

Employees 201-500 employees Industry Ground Passenger Transportation

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