EMS Biller and Coder

About the role

The EMS Biller and Coder is responsible for scrubbing sites for active health insurance while complying with insurance, local, state, and federal billing guidelines. This role involves adding appropriate key identifiers from Patient Care Reports with coordinating ICD codes, conducting insurance verification as needed, and completing prebilling training to qualify for the position.

Responsibilities

• Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers, and the patient's condition at time of transport
• Keeps an open line of communication with internal and external departments in a professional, tactful manner to obtain missing documentation or to clarify existing documentation
• Assigns condition codes for the reason(s) of transport with a minimum of 95% accuracy
• Meets established minimum coding productivity standards especially during training
• Reviews reports thoroughly to bill appropriately while following policies and procedures
• Utilizes software applications to complete pending assignments paying attention to urgent requests
• Attends department meetings and education sessions to further knowledge of billing and coding guidelines
• Places phone calls to insurance payers to obtain patient policy numbers when not available on insurance sites or other available documentation
• Ensures accuracy in data entry and consistent attention to detail while advancing with short keys for speed
• Demonstrates knowledge and compliance of insurance, local, state, and federal billing
• Completes tasks efficiently both individually and in a group environment
• Handles assigned correspondence and fulfills any other duties as assigned by managerial staff

Qualifications

• College preferred but not required; Medical Billing or Coding Certified preferred but not required
• Minimum two years' experience in customer care, account management, or similar role
• Healthcare and auto knowledge is preferred
• Must be a quick learner and motivated individual with excellent verbal communications skills
• Fluency in second language is a plus, Spanish preferred
• Ability to multi-task and manage spurts of high call volume and stress
• Positive, can-do attitude with good judgment demonstrating ability to escalate accounts when needed
• Ability to receive and implement feedback

Skills

• Well-versed with medical billing practices including understanding of insurance billing codes, regulations, and procedures
• Ability to investigate and resolve billing errors and disputes
• Effective communication skills with clients, insurance companies, patients, staff members, and management
• Ability to manage multiple tasks and meet deadlines
• Great attention to detail with high accuracy
• Computer literacy is a must; typing skillset of at least 45 WPM is highly desired
• Experience working in an active office environment
• Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously
• Must be able to sit/stand for 8 hours minimum in an office environment
• Must be able to use Word, Excel Spreadsheet, Email, Chat Applications, and other software applications
• Must be able to read, comprehend, and apply job-related rules, policies, and procedures

Pay

USD $19.00 - USD $23.00 /Hr., rates offered based on years of experience