Ambulance Billing & AR Specialist

Automatic Data Processing, Inc.; Arlington (MA); On-site; USD 30,000 - 36,000; Full time

Job summary

Automatic Data Processing, Inc. in Arlington, MA is seeking an Accounts Receivable Specialist to manage ambulance billing accounts, follow up on unpaid insurance claims, and resolve denials to ensure timely reimbursement.

You will review billing records, communicate with insurance carriers, correct claim errors, prepare corrected claims and appeals, and maintain accurate account documentation using our billing software.

Qualifications

• Associate degree or higher preferred.
• Minimum of 2 years of medical billing, ambulance billing, insurance follow-up, or accounts receivable preferred.
• Knowledge of Medicare, Medicaid and commercial insurance billing processes.
• Understanding of claim denials, appeals, payment posting, and insurance reimbursement.
• Familiarity with medical billing software, electronic claim systems, and Microsoft Office.
• Strong communication, organization, problem-solving, and documentation skills.
• Ability to manage multiple accounts, meet productivity goals, and work independently in an office environment.

Responsibilities

• Review and submit ambulance transportation claims to Medicare, Medicaid, commercial insurance companies, and other payers.
• Follow up on outstanding insurance claims and unpaid accounts to ensure timely payment.
• Investigate denied, rejected, and underpaid claims and determine the reason for non-payment.
• Contact insurance companies to verify claim status, payment details, coverage, and denial reasons.
• Prepare and submit corrected claims, reconsiderations, and appeals when necessary.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify payment discrepancies.
• Research eligibility, benefits, coordination of benefits, authorization requirements, and patient coverage issues.
• Resolve billing discrepancies involving ambulance transport services, mileage, medical necessity, and required documentation.
• Work with internal billing, coding, and operations teams to obtain missing information and correct claim errors.
• Maintain accurate follow-up notes, account records, and claim status updates in billing software.
• Monitor accounts receivable aging reports and prioritize overdue claims.
• Identify trends in recurring denials and recommend solutions to reduce future billing errors.
• Escalate complex claims and unresolved payment issues to management when appropriate.
• Protect patient confidentiality and comply with HIPAA requirements and applicable billing regulations.

Skills

Strong communication

Organization

Problem-solving

Documentation skills

Confidentiality

Professionalism

Education

Associate degree or higher preferred

Job description

Automatic Data Processing, Inc. in Arlington, MA is seeking an Accounts Receivable Specialist to manage ambulance billing accounts, follow up on unpaid insurance claims, and resolve denials to ensure timely reimbursement.

You will review billing records, communicate with insurance carriers, correct claim errors, prepare corrected claims and appeals, and maintain accurate account documentation using our billing software.