Accounts Receivable Specialist

Lifeline-Ambulance,-LLC; Niles Township (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Lifeline Ambulance Network is seeking an Accounts Receivable Specialist to manage unpaid and underpaid ambulance claims, follow up on denials, and communicate with payers and internal teams. This role emphasizes accuracy, persistence, and understanding EMS billing.

Reporting to the Senior Director of Billing, you will navigate Medicare, Medicaid, and commercial payer rules, supporting timely collections and compliance across our EMS operations in the Skokie area.

Qualifications

• 1-2 years revenue cycle or AR collections experience; EMS billing preferred.
• Knowledge of CPT, ICD-10, HCPCS coding.
• Strong understanding of government and commercial payer rules for ambulance transport.
• Proficiency in Microsoft Excel and Microsoft Word.
• High school diploma or equivalent required.

Responsibilities

• Resolve denial and correspondence tasks with accuracy and urgency.
• Research and correct claim rejections, denials, and underpayments.
• Prepare and submit corrected claims, appeals, and supporting documentation.

Skills

Revenue cycle experience

EMS billing

Microsoft Excel

CPT/ICD-10 coding

Payer rules knowledge

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Job description

Accounts Receivable Specialist

Lifeline Ambulance Network

Location: Skokie
Department: Billing
Reports To: Senior Director of Billing

About Lifeline

Lifeline Ambulance Network is a multi-market private ambulance provider delivering emergency and non-emergency medical transportation services. Our revenue cycle team plays a critical role in ensuring accurate reimbursement, compliance with payer regulations, and financial sustainability across EMS operations.

We’re seeking an Accounts Receivable Specialist who understands the urgency, complexity, and nuance of EMS billing-someone who can own their work, push claims to resolution, and communicate effectively with payers and internal stakeholders.

Position Summary

The AR Revenue Cycle Collections Specialist is responsible for managing unpaid and underpaid ambulance claims, resolving denials, and ensuring timely follow-up in accordance with payer guidelines. This role requires strong analytical skills, persistence, and comfort navigating Medicare, Medicaid, and commercial payer regulations specific to EMS transport.

Key Responsibilities

Claims & Denials Management

• Resolve all assigned denial and correspondence tasks with accuracy and urgency
• Research and correct claim rejections, denials, and underpayments
• Prepare and submit corrected claims, appeals, and supporting documentation

Accounts Receivable Optimization

• Actively work unpaid claims 60+ days from date of service
• Ensure previously worked claims are re-reviewed every 30 days or less
• Identify root causes of recurring denials and escalation trends appropriately

Appeals & Payer Follow-Up

• Submit formal appeals and track outcomes through final resolution
• Communicate directly with Medicare, Medicaid, and commercial payers
• Maintain detailed documentation of payer interactions and appeal status

Cross-Functional Communication

• Serve as a liaison between payers, patients, billing leadership, and operations
• Provide clear updates on high-dollar or high-risk claims
• Support internal audits and compliance efforts as needed

Required Qualifications

• 1-2 years of revenue cycle or AR collections experience (EMS billing strongly preferred)
• Working knowledge of CPT, ICD-10, and HCPCS coding
• Strong understanding of government and commercial payer rules, especially for ambulance transport
• Proficiency in Microsoft Excel and Word
• High school diploma or equivalent required

Core Competencies

• Detail-oriented & analytical - able to spot trends and solve complex billing issues
• Persistent & organized - follows claims through to resolution without dropping the ball
• Clear communicator - professional, confident payer and internal communication
• Accountable & adaptable - owns outcomes and adjusts quickly to changing priorities