Ambulance Billing Verification Specialist

Pafford Medical Services; Hope (AR); Híbrido; USD 25 000 - 39 000; Tempo integral

Resumo da oferta

Pafford Medical Services seeks a Verification Specialist to review ambulance transport records, verify patient information, insurance coverage, and medical necessity documentation before claim submission.

The role supports revenue cycle by resolving documentation discrepancies and ensuring transports are prepared for coding and billing. Strong attention to payer rules and detail orientation are essential.

Qualificações

• Detail-oriented, organized, and knowledgeable in healthcare insurance verification and ambulance billing requirements.
• Ability to interpret insurance eligibility information and payer requirements.
• Strong attention to detail and problem-solving skills.

Responsabilidades

• Review and verify ambulance transport records for accurate patient information and insurance coverage.
• Identify missing or inaccurate information and resolve documentation discrepancies.
• Verify demographics and multiple payer coverage for each claim.
• Determine coordination of benefits and payer priority.
• Research and resolve insurance discrepancies and inactive coverage.
• Identify potential third-party liability or special billing circumstances.

Conhecimentos

Healthcare billing

Insurance verification

Payer regulations

EMR systems

Formação académica

High school diploma or GED

Ferramentas

Billing software

Descrição da oferta de emprego

Pafford Medical Services seeks a Verification Specialist to review ambulance transport records, verify patient information, insurance coverage, and medical necessity documentation before claim submission.

The role supports revenue cycle by resolving documentation discrepancies and ensuring transports are prepared for coding and billing. Strong attention to payer rules and detail orientation are essential.