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Ambulance Biller

Ambulance Biller

First Rescue AmbulanceBaldwin Park, CA, US
15 hours ago
Job type
  • Full-time
Job description

Job Description

Job Description

First Rescue Ambulance is seeking on on-site ambulance biller. Must be able to work on-site at our Irwindale location. Ambulance billing experience is required.

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
  • Contact payers to verify claim status via phone or web and follow up on unpaid claims
  • Process appeals on aged insurance claims / denials
  • Ability 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
  • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
  • Review all EOBs for correct payment, deductible, adjustments, and denials
  • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
  • 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
  • Follow up on appeals / corrected submitted claims
  • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
  • Review and audit customer service account inquiries
  • Receive inbound / outbound customer service call
  • Provide excellent customer service to all patients, Insurances & Facilities
  • Review and correct all rejections in clearing house
  • Perform all other related duties as assigned

QUALIFICATIONS :

  • Must have 2-3 years of medical billing experience (required)
  • Ambulance billing experience (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

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    Biller • Baldwin Park, CA, US