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Billing Representative
Billing RepresentativeTrans-Care • Terre Haute, IN, United States
Billing Representative

Billing Representative

Trans-Care • Terre Haute, IN, United States
13 days ago
Job type
  • Full-time
Job description

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 codes
  • Research payer policies to determine proper appeal strategy
  • Prepare and submit written appeals for medical necessity, coding issues, eligibility, benefit coverage, and other denial categories
  • Track and escalate appeal outcomes as necessary
  • Coding & QA

  • Review EMS run reports (ePCRs) for accuracy, completeness, and compliance
  • Assign appropriate CPT / HCPCS codes and ensure correct modifiers
  • Verify and apply ICD-10 diagnosis codes based on documentation
  • Communicate with crews or supervisors regarding missing or incomplete documentation
  • Ensure compliance with Medicare, Medicaid, state EMS regulations, OIG guidelines, and payer-specific policies
  • General Billing Responsibilities

  • Process corrected claims and resubmissions
  • Work collaboratively with pre-billing, QA, payment posting, and collections staff
  • Maintain strict confidentiality and HIPAA compliance
  • Meet departmental productivity and accuracy standards
  • Qualifications

  • 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 teams
  • Preferred :
  • 1+ year of medical billing, ambulance billing, or healthcare revenue cycle experience

  • Knowledge of Medicare / Medicaid rules in IN, KY, and OH
  • Experience with appeals and complex denial resolution
  • Medical coding knowledge or certification
  • Work Environment & Benefits

  • In Office Monday-Friday schedule. This is not a remote position.
  • Supportive, team-oriented environment
  • Competitive compensation based on experience
  • Full benefits package including health insurance, 401K, vacation, PTO and paid holidays.
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    Billing Representative • Terre Haute, IN, United States

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