Ambulance Billing Verification Specialist (Hybrid)

Pafford Emergency Medical Services; Hope (AR); Hybrid; USD 25,000 - 39,000; Full time

Job summary

Pafford Emergency Medical Services seeks a Verification Specialist to review ambulance transport records, verify patient demographics, insurance coverage, medical necessity documentation, and billing requirements before submission to claims.

The role requires strong attention to detail, experience with billing software and EMR systems, and the ability to resolve discrepancies quickly while working in a hybrid environment across Oklahoma City, OK and Hope, AR.

Qualifications

• Detail-oriented, organized, and knowledgeable in healthcare insurance verification and ambulance billing requirements.
• High school diploma or GED.
• Experience in healthcare billing, insurance verification, patient registration, medical records, or revenue cycle operations preferred.
• Ability to interpret insurance eligibility information and payer requirements.
• Strong written and verbal communication skills.
• Proficiency with computers, electronic medical records, and billing software.
• Ability to manage a high-volume workload while maintaining accuracy.
• Ability to work independently and collaboratively in a team environment.
• Strong problem-solving skills.

Responsibilities

• Review and verify ambulance transport records for accuracy before claim submission.
• Identify missing or inaccurate information and resolve discrepancies.
• Verify patient demographics and insurance coverage.
• Confirm insurance eligibility and benefits for the date of service.
• Identify potential payers and determine coordination of benefits.
• Research and resolve insurance discrepancies and inactive coverage.
• Identify special billing circumstances such as third-party liability or motor vehicle accidents.

Skills

Detail-oriented

Organized

Insurance verification

Ambulance billing

Payer regulations

Attention to detail

Problem-solving

Communication skills

EMR systems

Billing software

High-volume workload

Independent and teamwork

Education

High school diploma or GED

Experience in healthcare billing or revenue cycle

Tools

EMR systems

Billing software

Job description

Pafford Emergency Medical Services seeks a Verification Specialist to review ambulance transport records, verify patient demographics, insurance coverage, medical necessity documentation, and billing requirements before submission to claims.

The role requires strong attention to detail, experience with billing software and EMR systems, and the ability to resolve discrepancies quickly while working in a hybrid environment across Oklahoma City, OK and Hope, AR.