The Ambulance Billing Specialist is responsible for the accurate and timely processing of insurance claims within the healthcare and Emergency Medical Services (EMS) environment. This position supports the revenue cycle through compliant claim preparation and submission, proactive follow-up on outstanding accounts, denial resolution, and accurate maintenance of billing records. The Specialist works collaboratively with billing leadership and other departments to help ensure claims are submitted correctly, reimbursement opportunities are appropriately pursued, and payer requirements are consistently met.
Essential Duties and Responsibilities
- Prepare, review, and submit accurate insurance claims for EMS services in accordance with applicable federal, state, payer-specific, and Company requirements.
- Review patient records, trip documentation, and EMS documentation for completeness and accuracy before claim submission.
- Verify insurance eligibility, benefits, and coverage information to reduce billing delays and prevent avoidable denials.
- Monitor and follow up on unpaid, rejected, and denied claims; identify errors; make appropriate corrections; resubmit claims; and assist with appeals as needed.
- Communicate professionally with Medicare, Medicaid, commercial insurance carriers, and other payers to resolve billing issues and requests for additional information.
- Maintain complete and accurate electronic records of claims, payments, adjustments, correspondence, and outstanding balances.
- Accurately enter, update, and manage billing information within electronic billing systems, spreadsheets, and electronic health record (EHR) platforms.
- Generate billing, accounts receivable, reimbursement, and revenue reports as requested by billing leadership.
- Maintain strict compliance with HIPAA and safeguard the confidentiality and security of patient, billing, and Company information.
- Maintain current knowledge of EMS billing requirements, payer policies, reimbursement rules, and internal process changes.
- Meet established productivity, accuracy, quality, and deadline expectations and comply with all Company policies and procedures.
- Act with integrity, accuracy, professionalism, and accountability in support of the mission and values of Accelerated Billing Company, Inc.
- Perform other billing-related duties and responsibilities as assigned.
Minimum Required Qualifications
- High school diploma or equivalent.
- Minimum of one (1) year of healthcare, medical, or EMS billing experience.
- Working knowledge of medical billing processes, insurance guidelines, claims processing, denial management, and claim follow-up.
- Proficiency with Microsoft Office applications, including Excel, Outlook, and Word; experience with Google Workspace and spreadsheet applications is beneficial.
- Experience using billing software, electronic health record (EHR) systems, or comparable healthcare technology platforms.
- Excellent attention to detail with strong organizational, analytical, and time-management skills.
- Strong written and verbal communication skills with the ability to communicate professionally with payers, coworkers, and leadership.
- Ability to work independently, prioritize multiple assignments, and consistently meet deadlines with minimal supervision.
- Demonstrated dependability, professionalism, discretion, and ability to maintain confidential information.
Preferred Qualifications
- Certification in medical billing or coding, such as CPB, CCS, CPC, or equivalent credential.
- Prior ambulance or EMS revenue-cycle and billing experience.
- Experience billing Medicare, Medicaid, and commercial insurance plans.
- Advanced proficiency with billing platforms, reporting tools, spreadsheets, and data analysis.
Core Competencies
- Accuracy and attention to detail
- Revenue-cycle and claims follow-up knowledge
- Problem solving and denial resolution
- Organization and time management
- Confidentiality and HIPAA compliance
- Professional communication and customer service
- Technology proficiency and adaptability
- Dependability, integrity, and teamwork
Work Environment and Position Requirements
This is an on-site office position based in Jacksonville, Florida. The employee must be able to perform routine computer-based billing and administrative work for extended periods, communicate by telephone and electronic systems, and operate standard office equipment. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
Accelerated Billing Company, Inc. is an equal opportunity employer. Employment decisions are made without regard to any characteristics protected by applicable federal, state, or local law.
Job Description Acknowledgment
This job description is intended to describe the general nature and level of work performed by employees assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Duties and responsibilities may be modified based on operational and business needs. This job description does not create a contract of employment or alter the at-will employment relationship.