Pre-Billing Specialist (Remote)

Posted 5 days ago

United States

0-2 years experience

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Job Title: Pre-Billing Specialist

Division: Billing

Reports to: President

Summary

Responsible for pre-billing processes for Ambulance Billing Network LLC and its clients. Under the direct and indirect supervision of the Billing Supervisory, Manager and President, the Pre-Billing Specialist completes initial processes required to prepare ambulance claims to be coded. This includes but is not limited to patient demographics, insurance verification, billing authorization and review of physician certification statements.

Qualifications:

Required:

 High School Graduate/GED

Desired:

 Ambulance Industry experience

 Medical terminology knowledge

 Insurance 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 pre-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.
Identify and file probates, if necessary, with various county courthouses.
Assist customers with account information.
Work with Zoll RescueNet to ensure the most efficient billing process.

Directs patient complaints to the Billing Manager for completion and filing.
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 Billing Manager and President.
At the end of 90 days of employment a Pre-Billing Specialist must be able to pre-bill 10-13 claims per hour with a minimum of 95% accuracy in the claims.
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-5:00pm, Monday through Friday.

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

RESOURCE MANAGEMENT SYSTEMS INC

Employees 201-500 employees Industry Ground Passenger Transportation

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