Ambulance Billing & Coding Specialist

Mobile Health Resources LLC; Lansing (MI); On-site; USD 45,000 - 65,000; Full time

Job summary

Mobile Health Resources LLC is seeking a Medical Billing and Coding Specialist to accurately code ambulance claims, submit them, and follow up on denials, ensuring compliance with HIPAA and billing regulations to facilitate timely reimbursement.

The role involves collecting data from patient care reports, communicating with facilities and insurers, assigning HCPCS/ICD-10 codes, posting payments, and managing aging accounts while providing clear information to patients.

Qualifications

• HIPAA knowledge and compliance with billing regulations.
• Proficient in HCPCS and ICD-10 coding.
• Attention to detail to review records and claims for errors.

Responsibilities

• Examines patient care reports to gather essential information for insurance documentation.
• Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements.
• Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim records.
• Communicates with insurance companies to verify coverage and gather benefit details.
• Assigns relevant codes based on documented information and determines the appropriate level of ambulance service.
• Allocates charges for services supported by documentation.
• Reviews medical records to assess medical necessity and enters ICD, CPT, or HCPCS codes for claims.
• Verifies presence of required documents before submitting reimbursement claims.
• Calculates total bills and processes claim submissions by mail or electronically.
• Billed to correct payer following the appropriate billing schedule.
• Follows up with companies and individuals regarding unpaid claims.
• Communicates professionally with patients and families about statements.
• Prepares outgoing bills, invoices, statements, and reports.
• Manages denial resolution and accounts receivable follow-up.
• Posts payments and compiles reports.
• Performs charge entry tasks.
• Handles aging accounts.
• Maintains confidentiality and HIPAA compliance.
• Performs other duties as required.

Skills

Ambulance billing

ICD-10 coding

CPT coding

HIPAA knowledge

Attention to detail

Communication skills

Independence

Education

High school diploma or GED

Medical billing/coding certificate

Tools

Medical billing software

Job description

Mobile Health Resources LLC is seeking a Medical Billing and Coding Specialist to accurately code ambulance claims, submit them, and follow up on denials, ensuring compliance with HIPAA and billing regulations to facilitate timely reimbursement.

The role involves collecting data from patient care reports, communicating with facilities and insurers, assigning HCPCS/ICD-10 codes, posting payments, and managing aging accounts while providing clear information to patients.