EMS Billing & Quality Assurance Specialist

Priority Ondemand; Conyers (GA); On-site; USD 50,000 - 65,000; Full time

Job summary

Priority Ondemand is seeking an Insurance & QA Specialist in Conyers, GA. This office-based role focuses on EMS billing pre-authorization and data quality assurance with regular interaction with field staff and external partners.

responsibilities include verifying eligibility, obtaining prior authorizations, and ensuring documentation supports medical necessity. The position requires accuracy, CMS knowledge, and strong communication skills.

Qualifications

• High school diploma or equivalent required; Associate's degree in healthcare administration, billing/coding, or related field preferred.
• Minimum 1–2 years of experience in medical billing, insurance, or healthcare administration.
• EMT or Paramedic certification (active or prior) a plus but not required.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage for EMS transports.
• Initiate and obtain prior authorizations for scheduled transports (e.g., non-emergency ambulance, repetitive transports).
• Coordinate approvals with hospitals, nursing facilities, insurance companies, and case managers to ensure timely processing.
• Document all communications, approvals, and denials in the patient record/billing system.
• Follow up on pending authorizations to prevent denials and support appeals as needed.
• Review PCRs for accuracy, completeness, and compliance with CMS/state EMS regulations.

Skills

EMS operations knowledge

Medical terminology

Insurance billing practices

CMS requirements

Attention to detail

Communication skills

ePCR proficiency

Billing systems proficiency

Multitasking

Fast-paced environment

Education

High school diploma or equivalent

Associate's degree in healthcare administration, billing/coding, or related field

EMT or Paramedic certification (active or prior) a plus but not required

Tools

ePCR software

Billing systems

Job description

Priority Ondemand is seeking an Insurance & QA Specialist in Conyers, GA. This office-based role focuses on EMS billing pre-authorization and data quality assurance with regular interaction with field staff and external partners.

responsibilities include verifying eligibility, obtaining prior authorizations, and ensuring documentation supports medical necessity. The position requires accuracy, CMS knowledge, and strong communication skills.