Ambulance Billing

Responsibilities

• Performs billing functions to review and resolve billing errors, ensuring clean claim submission.
• Works directly with third-party payers, internal and external customers, and other contract clients to achieve effective and efficient collection results on assigned accounts, following department policy and procedures.
• Maintains thorough knowledge of third-party billing and collection requirements for assigned payers.
• Utilizes all available resources, including electronic inquiries, to verify eligibility, benefits, and claim status.
• Exercises good judgment toward account resolution and documents all account activity clearly, accurately, and consistently using the appropriate online system.
• Processes correspondence, explanation of benefits, and remittance advice daily, ensuring a 72-hour turnaround period is met.
• Demonstrates excellent customer service skills when responding to incoming or outgoing calls, providing clear and appropriate information.
• Reconciles payments and contracts to ensure the accuracy of account balances.
• Advises team lead and/or supervisor of billing errors, payer trends in claims processing, denials, or payment fluctuations to ensure proper handling and escalation.
• Meets departmental productivity and quality assurance standards in accordance with policies.
• Adheres to all hospital regulations associated with compliance, including HIPAA.

Requirements

• High school diploma or equivalent.
• Some billing experience.
• Knowledge of medical billing practices.