Ambulance Billing Revenue Cycle Specialist

EPOCH HEALTHCARE LLC; Norwood (MA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

401(k)

Bonus based on performance

Company parties

Free uniforms

Opportunity for advancement

Job summary

EPOCH HEALTHCARE LLC in Norwood, Massachusetts is seeking an experienced Ambulance Billing & Revenue Cycle Specialist. This role is pivotal in managing the full billing cycle for BLS and non-emergency medical transport services, ensuring compliance with Medicare, MassHealth, and HIPAA guidelines. Ideal candidates should have at least 2 years of medical billing experience, particularly in ambulance services, and strong proficiency in ICD-10 coding. The position offers opportunities for advancement and a collaborative work environment.

Qualifications

• Minimum 2 years of experience in medical billing, preferably in ambulance or EMS billing.
• Working knowledge of the Medicare ambulance fee schedule and MassHealth transportation billing regulations.
• Proficiency in ICD-10-CM diagnosis coding and HCPCS Level II ambulance procedure codes.

Responsibilities

• Manage the full billing cycle for BLS and non-emergency medical transport services.
• Process and submit clean ambulance claims to various insurers.
• Monitor accounts receivable aging reports and follow up on outstanding claims.

Skills

Medical billing

ICD-10-CM coding

Claims submission

HIPAA compliance

EMS billing software

Education

Associate’s degree in Accounting, Health Information, or related field

High school diploma or GED

Tools

Zoll Billing

TriTech

Job description

Benefits

• 401(k)
• Bonus based on performance
• Company parties
• Free uniforms
• Opportunity for advancement

About Epoch Health Care LLC

Epoch Health Care LLC is a growing medical transportation and emergency medical services company headquartered in Norwood, Massachusetts. We serve patients throughout the Greater Boston area under contracts with the City of Boston, MassHealth, Medicare, and Boston Public Schools. We are currently expanding our BLS ambulance operations and building a team of dedicated EMS professionals committed to delivering compassionate, high-quality patient care.

Position Summary

Epoch Health Care LLC is seeking an experienced Ambulance Billing & Revenue Cycle Specialist to manage the full billing cycle for our BLS and non‑emergency medical transport services. You will handle claims submission, payment posting, denials management, and collections for Medicare, MassHealth (Medicaid), and commercial insurers. This is a critical role that directly supports Epoch’s financial health and regulatory compliance as we expand our ambulance operations throughout the Greater Boston area.

Key Duties & Responsibilities

• Process and submit clean ambulance claims to Medicare, MassHealth, and commercial insurers electronically and by paper
• Enter BLS/ALS level‑of‑service codes, mileage, diagnosis codes (ICD‑10), and procedure codes (HCPCS A‑codes) accurately
• Review and interpret patient care reports (PCRs) to verify documentation supports the level of service billed
• Post payments, adjustments, contractual allowances, and denials to patient accounts
• Manage denials and rejections — perform claim corrections, appeals, and payer follow‑up
• Verify patient insurance eligibility and obtain prior authorizations when required
• Submit PT‑1 forms and transportation authorization requests for MassHealth members
• Monitor accounts receivable aging reports and follow up on outstanding claims
• Set up patient payment plans and respond to billing inquiries from patients and payers
• Ensure all billing practices comply with Medicare, MassHealth, HIPAA, and OIG guidelines
• Generate billing reports and provide revenue cycle metrics to management
• Coordinate with EMTs, Paramedics, and operations staff to resolve documentation issues

1 Central St, Suite #13, Norwood, MA 02062 | 617-322-9328 | www.epochhealthcareservice.com | Epoch Health Care LLC | [e-mail] | 781-349-6163 | EOE

Required Qualifications

• Minimum 2 years of experience in medical billing, with at least 1 year in ambulance or EMS billing
• Working knowledge of Medicare ambulance fee schedule (42 CFR Part 414, Subpart H) and MassHealth transportation billing regulations
• Proficiency in ICD‑10‑CM diagnosis coding and HCPCS Level II ambulance procedure codes (A0425–A0999)
• Experience with electronic claims submission (EDI 837P) and ERA/EOB payment posting
• Familiarity with EMS billing software (e.g., Zoll Billing, EMS Billing Services, TriTech, or similar)
• Strong understanding of HIPAA Privacy Rule and ambulance billing compliance requirements
• High school diploma or GED required; Associate’s degree in Accounting, Health Information, or related field preferred
• Must not appear on OIG List of Excluded Individuals/Entities (LEIE)

Preferred Qualifications

• Certified Ambulance Coder (CAC) or Certified Professional Biller (CPB) designation
• Experience billing for MassHealth (Massachusetts Medicaid) ambulance transport services and PT‑1 forms
• Knowledge of MTM and other non‑emergency medical transportation (NEMT) broker billing
• Experience with Medicare medical necessity documentation review for ambulance transport
• Bilingual (English/Spanish or English/Haitian Creole) a strong plus
• Prior experience with a small or startup ambulance company — ability to work independently

Physical Requirements

• Ability to lift and maneuver at least 125 lbs with assistance
• Ability to walk up and down stairs carrying equipment
• Ability to sit, stand, kneel, bend, and crawl as duties require
• Ability to work in varied environments, including low light and confined spaces

Equal Opportunity Employer

Epoch Health Care LLC is an Equal Opportunity Employer. We encourage candidates from all backgrounds to apply.