EMS Billing & Coding Specialist — Ambulance & NEMT

Priority Patient Transport; Roanoke (VA); On-site; USD 45,000 - 50,000; Full time

Job summary

Priority Patient Transport is seeking an Ambulance and NEMT Billing Coding Specialist to support the revenue cycle for emergency and nonemergency medical transportation services. This position reviews transport documentation, confirms patient and payer information, resolves documentation gaps, prepares accurate claims, and helps move each trip from intake through claim submission and follow-up.

The ideal candidate is organized, detail-oriented, comfortable working independently, and able to

Qualifications

• Must review transport documentation for completeness and accuracy.
• Verify patient demographics, insurance eligibility, payer information, and service details.
• Prepare and code claims according to payer requirements including Medicare/Medicaid and commercial plans.
• Ensure required documents are attached, such as facesheets and authorizations.
• Identify incomplete documentation and route for corrections.
• Review ePCRs for consistency in times, mileage, signatures, narratives, and billing indicators.
• Enter transports into billing platform and monitor claim statuses.
• Track denied or incomplete claims and coordinate resolutions.

Responsibilities

• Review ambulance and NEMT transport records for completeness, accuracy, medical-necessity support, and consistency across dispatch records, ePCRs, trip documents, and billing systems.
• Verify patient demographics, insurance eligibility, payer order, transport type, service level, origin and destination, mileage, authorization or reference numbers, and other required billing information.
• Prepare and code claims according to company procedures and applicable payer requirements, including Medicare, Medicaid, commercial insurance, managed transportation, facility, and self-pay workflows.
• Confirm that required documents are present and attached, such as facesheets, physician certification statements, signatures, manifests or trip logs, authorizations, vouchers, vendor approvals, and advance beneficiary notices.
• Identify incomplete or conflicting documentation, record the issue, place the account in the correct review status, and request corrections or missing information from the appropriate person or organization.
• Review ePCRs for consistency in personnel and signatures, incident details, times, mileage, patient information, assessment findings, narratives, vitals, procedures, destination information, and billing indicators.
• Follow approved correction and addendum procedures and elevate clinical, payer, or compliance questions when requirements are unclear.
• Enter or import completed transports into the billing platform, update claim statuses, submit claims through approved channels, and maintain accurate work queues.
• Track rejected, denied, suspended, or incomplete claims; research the cause; correct or route the account; and communicate unresolved barriers.
• Perform required provider, signer, or exclusion checks using approved sources, including Office of Inspector General checks when applicable.
• Maintain production and documentation-issue logs and help identify trends affecting clean claims, billing timeliness, reimbursement, or compliance.
• Provide professional documentation feedback and assist with staff orientation or training when requested.
• Protect patient and company information in accordance with HIPAA, privacy, security, and confidentiality requirements.
• Support billing-office communications and cross-coverage and perform other related duties within the position scope.

Skills

Attention to detail

Organized

Communication

Independent work

Microsoft Office

HIPAA compliance

Education

High school diploma or equivalent

Tools

EMS billing software

Payer portals

ePCR systems

Microsoft Office

Job description

Priority Patient Transport is seeking an Ambulance and NEMT Billing Coding Specialist to support the revenue cycle for emergency and nonemergency medical transportation services. This position reviews transport documentation, confirms patient and payer information, resolves documentation gaps, prepares accurate claims, and helps move each trip from intake through claim submission and follow-up.

The ideal candidate is organized, detail-oriented, comfortable working independently, and able to