Ambulance Medical Billing and Coding Associate

Responsibilities

• Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
• Responsible for escalating concerns regarding questionable paperwork to appropriate management
• Able to analyze, identify and resolve issues which may cause payer payment delays
• Identify and resolve claim edits through understanding of billing guidelines and payer requirements
• Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
• Reconcile account balances, and verify payments are applied correctly
• Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
• Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
• Review and audit customer service account inquiries
• Provide excellent customer service to all patients, Insurances & Facilities
• Perform all other related duties as assigned

Qualifications

• Must have 2-3 years of medical billing experience (required)
• Ambulance billing experience (strongly preferred)
• Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
• Proficient in CPT and ICD-10 coding
• Ambulance/Medical billing certification or diploma preferred
• Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred
• Excellent organizational skills and the ability to multitask in a fast-paced environment
• Analytical - collects and researches data; uses intuition and experience to complement data