Ambulance Billing Specialist - Claims Follow-Up, Appeals, Denials & Coding
Location : Terre Haute, IN
Department : Billing & Revenue Cycle
Position Type : Full-Time
Reports To : Billing Manager
About Us
We are a fast-growing, multi-state ambulance service providing emergency and non-emergency medical transportation across Indiana, Kentucky, and Ohio. As we expand our billing department, we are adding multiple roles focused on high-quality reimbursement, compliance, and exceptional revenue-cycle performance.
Position Overview
We are seeking detail-oriented Ambulance Billing Specialists to join our Billing & Revenue Cycle team. These positions will focus on claims follow-up, appeals, denials management, and medical coding for both emergency and non-emergency ambulance claims. The ideal candidate is organized, analytical, and comfortable navigating complex payer requirements across Medicare, Medicaid, commercial insurance, and Medicaid managed care organizations.
Key Responsibilities
Claims Follow-Up
- Monitor unpaid, underpaid, or pending claims across all payers
- Contact insurance carriers to determine claim status and resolve outstanding issues
- Document all follow-up activity in the billing system
- Identify trends in payer delays or processing errors
Appeals & Denials
Review explanation of benefits (EOBs), remittance advice (ERA), and denial codesResearch payer policies to determine proper appeal strategyPrepare and submit written appeals for medical necessity, coding issues, eligibility, benefit coverage, and other denial categoriesTrack and escalate appeal outcomes as necessaryCoding & QA
Review EMS run reports (ePCRs) for accuracy, completeness, and complianceAssign appropriate CPT / HCPCS codes and ensure correct modifiersVerify and apply ICD-10 diagnosis codes based on documentationCommunicate with crews or supervisors regarding missing or incomplete documentationEnsure compliance with Medicare, Medicaid, state EMS regulations, OIG guidelines, and payer-specific policiesGeneral Billing Responsibilities
Process corrected claims and resubmissionsWork collaboratively with pre-billing, QA, payment posting, and collections staffMaintain strict confidentiality and HIPAA complianceMeet departmental productivity and accuracy standardsQualifications
Required :Strong attention to detail and problem-solving skills
Proficiency with computers, including but not limited to : Microsoft Office 365, navigating insurance websites, and the ability to learn our billing software.Ability to communicate professionally with payers and internal teamsPreferred :1+ year of medical billing, ambulance billing, or healthcare revenue cycle experience
Knowledge of Medicare / Medicaid rules in IN, KY, and OHExperience with appeals and complex denial resolutionMedical coding knowledge or certificationWork Environment & Benefits
In Office Monday-Friday schedule. This is not a remote position.Supportive, team-oriented environmentCompetitive compensation based on experienceFull benefits package including health insurance, 401K, vacation, PTO and paid holidays.