Ambulance Billing and Coding Specialist

MedEx Ambulance Service Inc.; Skokie (IL); Presencial; USD 63.039.000 - 85.962.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Advancement opportunities

Descripción de la vacante

MedEx Ambulance Service Inc. in Skokie, IL, seeks an experienced Ambulance Billing and Coding Specialist to support our EMS revenue cycle with accurate claim submission and coding review.

You will verify insurance, handle denials, stay compliant with Medicare/Medicaid/HIPAA, and collaborate with billing, coding, and operations to improve cash flow. Candidates typically have 2+ years EMS billing or CAC certification; EMT/Paramedic background is also considered; proficiency in HCPCS and ICD-10

Formación

• Minimum of 2 years ambulance coding or EMS billing experience or CAC with EMT/Paramedic deemed acceptable.
• Strong knowledge of HCPCS and ICD-10 coding for ambulance services.
• Working knowledge of Medicare/Medicaid billing guidelines and HIPAA compliance.

Responsabilidades

• Research and review information to complete accurate ambulance billing, including codes.
• Prioritize workflow for timely claim submission and reimbursement.
• Review claims for completeness and compliance prior to submission.
• Analyze and resolve complex denial and reimbursement issues.
• Verify insurance coverage, authorizations, and benefits eligibility.
• Maintain knowledge of ambulance billing guidelines and policies.
• Identify documentation trends and quality concerns for leadership.
• Collaborate with billing, coding, dispatch, and operations teams as needed.
• Support revenue cycle management process improvements and AR follow-up.

Conocimientos

Ambulance billing procedures

Medical terminology

Claims processing

Denials management

Reimbursement practices

Insurance regulations

HIPAA compliance

Microsoft Word

Microsoft Excel

Attention to detail

Communication

Educación

Certified Ambulance Coder (CAC)

EMT or Paramedic certification

Herramientas

EMS billing software

NEMSIS documentation review

Descripción del empleo

We are seeking an experienced and detail-oriented Ambulance Billing and Coding Specialist to support our EMS revenue cycle operations. This role is responsible for accurate ambulance claim submission, coding review, insurance verification, denial management, and compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements. The ideal candidate will possess strong knowledge of ambulance billing, medical coding, reimbursement processes, and insurance regulations.

Compensation

• Competitive pay based on experience and certifications
• $22.00 - $30.00 based on experience

Schedule

• Full-time position
• Health, dental, and vision insurance
• Paid time off
• 401(k) options
• Opportunities for advancement within the organization

Duties and Responsibilities

• Research and review all information necessary to complete accurate ambulance billing processes, including assignment of billing charge codes, HCPCS codes, and ICD-10 diagnosis codes
• Prioritize workflow to ensure timely and accurate claim submission and reimbursement
• Review claims for completeness and compliance prior to submission
• Analyze and resolve complex claim, reimbursement, and denial management issues
• Verify billing requirements, insurance coverage, authorizations, and benefits eligibility
• Maintain current knowledge of Medicare ambulance billing guidelines, Medicaid requirements, HIPAA regulations, and commercial insurance policies
• Identify and communicate documentation trends, deficiencies, and quality assurance concerns to leadership
• Collaborate effectively with billing, coding, dispatch, and operational departments as needed
• Assist with continuous process improvement initiatives related to revenue cycle management (RCM), claims processing, and billing operations
• Support accounts receivable (AR) follow-up and appeals processes as needed

Qualifications

• Knowledge of ambulance billing procedures and diagnostic coding, including HCPCS and ICD-10 codes
• Strong understanding of medical terminology, claims processing, denials management, and reimbursement practices
• Ability to analyze information and solve complex billing and coding issues
• Knowledge of insurance regulations, billing requirements, coverage guidelines, and benefits eligibility
• Ability to work independently and collaboratively within a team environment
• Proficiency in Microsoft Word and Excel
• Strong organizational, communication, and interpersonal skills
• Ability to maintain effective working relationships and confidentiality
• Typing speed of at least 35 words per minute

Education and Experience

Candidates must meet one of the following qualifications:

• Minimum of 2 years of ambulance coding or EMS billing experience; OR
• Minimum of 1 year of ambulance coding experience with current certification as a Certified Ambulance Coder (CAC) or other recognized medical coding credential
• EMT or Paramedic with a minimum of 2 years of field experience
• Experience with EMS billing software, claims auditing, or NEMSIS documentation review preferred

Preferred Skills

• Strong attention to detail and accuracy
• Ability to manage multiple priorities in a fast-paced environment
• Commitment to compliance and confidentiality standards
• Experience identifying process improvements and documentation trends
• Strong problem-solving and critical-thinking abilities
• Knowledge of revenue cycle management (RCM) and ambulance reimbursement practices

This position may involve working independently while also collaborating closely with billing, coding, and operational teams to support efficient revenue cycle management and accurate reimbursement processes. The ideal candidate will be adaptable, dependable, and capable of maintaining high levels of accuracy in a fast-paced healthcare environment.

MedEx is an Equal Opportunity / Affinneative Action Employer

All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin.