Ambulance Billing Specialist
Coordinate patient billing using specific criteria and properly applies Medicare, Medicaid, Commercial compliance and contract regulations while performing electronic billing functions. Pursue required information to submit clean-claims to insurances, perform corrected billings for all bill classes and work electronic denials from the clearing house for a quick turnaround billing same day re-bill. Excellent problem solving, communication and customer services skills required. Ability to accept change on a daily basis is essential.
- Responsible for electronic submission of claims to include initial claim, re-bill, corrected claim and necessary follow up.
- Keep abreast of all data requirements including, but not limited to:
- Billing policies and procedures
- Regulatory compliance and billing guidelines, rules and regulations
- Contract regulations for commercial payers
- Work in Direct Data Entry on Medicare claims erroring for various reasons
- Meet productivity requirements while maintaining compliance
- Medical Billing/Coding experience in a medical billing position working in denials management and electronic claims processing
- High School diploma or equivalent work experience in a medical billing system
- Knowledge of basic medical terminology. Solid understanding of CPT4, HCPC and ICD10 codes
- Experience in an office setting and using office equipment such as fax and copier
- Proficiently type 35 wpm and proficient with 10 key, with high level of accuracy
- Experience with computer program applications to include Microsoft Office products: Word, Excel and Outlook
- Previous customer service experience preferred
Read this Brewster Insights article featuring Deb Gilbody, Boston billing, to learn more about an actual Brewster Ambulance Service team member in this department.