Job Description

Job Title: Billing Specialist  

Reports to: Director of Revenue Cycle Management

Through: Billing Operations Manager

Department: Revenue Cycle Management

Location: Remote or in-house

FLSA Status: Non- Exempt

POSITION SUMMARY:  

The fundamental responsibilities of the Billing Specialist are to ensure timely and accurate claim processing inclusive of but not limited to coding, verify payers, working denials, rejections, and posting of payments. Additionally, the Billing Specialist will directly interface with others within the company, patients, customers, vendors, collections agencies and others inside or outside the company to assure that billing is completed in a timely and accurate manor to maximize accounts receivable.

Essential Duties and Responsibilities:

• Entering correct ICD-10 or CPT (or other type codes and modifiers as required by payers) codes on claims.
• Enter correct charges on claims based on payer regulations.
• Manage trips that have denied or are in account review to assure that they are appealed or re-filled correctly in a timely manner.
• Communicate with customers in a professional manner.
• Interact with payers to secure timely payment.
• Verify payer coverage through resources available.
• Maintain knowledge of payer regulations, timely filing deadlines, payment and appeals policies and procedures.
• Represent the organization professionally and appropriately.
• Answer inbound calls daily from customers, vendors, as well as other calls.
• Communicate with all facilities, Brewster employees and vendors in a professional manner.
• Ability to work in and participate in a team environment while performing at the highest standards independently.

Non-Essential Duties and Responsibilities

• Perform other duties as assigned.

Minimum Qualifications:

• Two (2) years’ experience in ambulance medical billing.
• Able to work independently.
• Comprehensive understanding of federal reimbursement guidelines.
• High level computer skills.
• Excellent interpersonal skills.
• Service oriented.

Education/Licensing/Certification:

• (Preferred) Be a currently state certified EMT, EMT-A, or Paramedic.
• (Preferred) Be CAC certified.
• High school diploma
• Current state driver’s license.

Other Knowledge and Skills:

• Maintains professional competence and demonstrates concern for the competence of other members of the EMS health care team.
• Maintain HIPPA Compliance. 
• Strong ability to multi-task at a high pace environment.
• Ability to uphold standards of practice and education.
• Ability to adhere to standards of personal ethics, on and off duty, which reflect credit upon the profession.
• Does not use professional knowledge and skills in any enterprise detrimental to the Company or to the public well-being.
• Ability to respect and hold in confidence all information of a confidential nature obtained in the course of professional work unless required by law to divulge such information.
• Has good working knowledge of all company policies pertaining to this position.
• Good knowledge of common physical illnesses, obvious symptoms, and medical terminology.

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