Accounts Receivable Specialist

Life Ambulance Network; Skokie (IL); On-site; USD 42,000 - 66,000; Full time

Job summary

Lifeline Ambulance Network is seeking an Accounts Receivable Specialist to manage unpaid and underpaid ambulance claims, drive denials resolution, and coordinate with Medicare, Medicaid, and commercial payers from the Skokie Billing department.

The role requires 1–2 years in revenue cycle/AR collections (EMS billing preferred), strong CPT/ICD-10/HCPCS knowledge, and proficiency in Excel and Word. A high school diploma is required for this on-site position within our Billing team.

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

Responsibilities

• 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
• 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 escal...
• 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
• 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

Skills

Revenue cycle experience

AR collections

EMS billing

CPT coding

ICD-10 coding

HCPCS coding

Payer rules knowledge

Excel

Word

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Job description

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.

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 escal ...

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