Responsible for ambulance billing, claims follow-up, collections, and denial resolution to support timely reimbursement. The role includes working with insurance carriers, patients, and internal teams to investigate discrepancies, submit claims, and maintain accurate account records.
Key duties include:
- Obtain referrals and pre/post-authorizations for ambulance services
- Verify eligibility and benefits
- Review insurance and facility claims for accuracy and completeness
- Prepare, review, and transmit claims through billing software, clearinghouses, and payer websites
- Follow up on unpaid and underpaid claims
- Contact insurance companies regarding payment discrepancies
- Bill secondary and tertiary insurance
- Process incoming mail and resolve account issues
- Research and appeal denied claims
- Respond to patient and insurance inquiries
- Maintain HIPAA compliance and patient confidentiality
- Perform other assigned duties
Requirements & Qualifications
Required qualifications
- High school diploma or GED
- Minimum of 1 year of revenue cycle management experience or related experience
- Proficiency with a PC
- Knowledge of HIPAA
- Knowledge of HCPCS and ICD-10 codes
- Knowledge of medical terminology and medical billing
- Familiarity with HMO/PPO, Medicare, Medicaid, and commercial payer guidelines
- Strong customer service and communication skills
- Ability to research and resolve discrepancies, denials, appeals, and collections
- Ability to work independently and as part of a team
- Working knowledge of MS Word and Excel
- Ability to maintain effective working relationships
- Thorough knowledge of office practices
- Ability to type at least 35 words per minute
- Proficiency using 10-key
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
11 months ago