EMS Billing Specialist - Department of Fire & EMS

Carroll County Government; Westminster (MD); On-site; USD 36,000 - 38,000; Full time

Benefits offered by this job

Overtime

Compensatory Time

Job summary

Carroll County Government is seeking an EMS Billing Specialist to handle ambulance billing duties, monitor a third‑party billing partner, and ensure confidentiality and accuracy across records. The role supports county EMS operations and requires HIPAA compliance and billing proficiency.

The position offers full-time hours, standard benefits, and opportunities to collaborate with clinical and administrative teams while maintaining high standards of integrity and fiscal responsibility.

Qualifications

• High school diploma or GED is required.
• One or more years of related experience preferred.
• A comparable amount of education and experience may be substituted for the minimum requirement.

Responsibilities

• Receive and review patient care reports and associated documents for completeness, accuracy and signature requirements. Ensure necessary corrections are performed and the timely submittal of documents.
• Maintain files containing confidential medical information in a manner that is auditable as required by Federal law.
• Assist with bookkeeping functions, including bank reconciliations, posting payment, printing statements, and reconciling deposits with daily reports.
• Coordinate with EMS operations personnel regarding completion of reporting benchmarks, quality assurance benchmarks, and proper coding/diagnosis to maximize billing returns.
• Monitor contracted EMS billing company for compliance. Coordinate the processing of all invoiced medical care and medical documentation.
• Serve as an authorized agency representative to the CMS and comply with CMS regulations.
• Communicate with medical facilities to assure continuity of billing support and ICD coding.
• Support EMS billing processes for Carroll County volunteer fire companies and companies that request County units to respond into their jurisdictions.
• Maintain HIPAA compliance program, including recordkeeping for the Department.
• Ensure all work is complete and timely to support department goals.
• Invite collaboration and seek learning opportunities. Proactively assist peers to create a supportive work environment.
• Exhibit integrity, ethics, and fiscal responsibility.

Skills

Medical Billing

HIPAA

Medical Terminology

Data Entry

MS Office

Education

High school diploma or GED

One or more years of related experience

Comparable amount of education and experience may be substituted

Job description

EMS Billing Specialist

Information

Pay Range (Grade): $26.31 - $46.03 (H500)

Hiring Pay Range: $26.31 - $27.63

Other Compensation Offered: Overtime, Compensatory Time

Employment Type: Full-Time, 40 hours per week

Organization: Fire & EMS

Location: County Office Building

Reports to: Director, Fire & Emergency Medical Services

Classification: Non-Exempt (40524)

Who We Are

At Carroll County Government, we look for people who are eager to engage in meaningful work that positively impacts our community. As public servants, our sense of purpose and motivation to work hard starts with the value we place on relationships with coworkers, community partners, and those we serve. We strive to build collaborative and passionate teams, with opportunities to learn and explore new possibilities in a welcoming workplace. As a team, we are committed, inspired, and connected to make a difference in the community.

What You Will Do

As an EMS Billing Specialist, you will perform a wide range of ambulance billing duties for Carroll County Department of Fire & EMS. Your knowledge of billing processes will be crucial in monitoring the County's third-party billing company and the volunteer association. The Director of Fire & EMS will rely on you to maintain integrity, confidentiality, and accuracy.

Essential Duties

• Receive and review patient care reports and associated documents for completeness, accuracy and signature requirements. Ensure necessary corrections are performed and the timely submittal of documents.
• Maintain files containing confidential medical information in a manner that is auditable as required by Federal law.
• Assist with bookkeeping functions, including bank reconciliations, posting payment, printing statements, and reconciling deposits with daily reports.
• Coordinate with EMS operations personnel regarding completion of reporting benchmarks, quality assurance benchmarks, and proper coding/diagnosis to maximize billing returns.
• Monitor contracted EMS billing company for compliance. Coordinate the processing of all invoiced medical care and medical documentation.
• Serve as an authorized agency representative to the federal Center for Medicaid/Medicare Services (CMS) and comply with annual and ongoing CMS regulations. Validate all employees meet federal requirements through the CMS Office of the Inspector General.
• Communicate with medical facilities to assure continuity of billing support and ICD coding.
• Support EMS billing processes for Carroll County volunteer fire companies and companies that request County units to respond into their jurisdictions.
• Maintain HIPPA compliance program, including recordkeeping for the Department. Assure confidentiality and compliance with all HIPPA regulations.
• Ensure all work is complete and timely to support department goals. Evaluate feedback and procedures to improve efficiency.
• Invite collaboration and seek learning opportunities. Proactively assist peers to create a supportive work environment.
• Exhibit integrity, ethics, and fiscal responsibility.

How You Will Succeed

Your Skills

• Medical Billing (Intermediate)
• Health Insurance Portability and Accountability Act (HIPAA) (Intermediate)
• Medical Terminology (Intermediate)
• Data Entry (Intermediate)
• Microsoft Office Suite (Intermediate)

Your Strengths

• Service Excellence
• Decision Making
• Collaborating with Others
• Attention to Detail
• Digital Literacy
• Professionalism
• Financial Acumen
• Information Management
• Planning and Organizing

You Might Be a Good Fit If

Education and Experience

• High school diploma or general education diploma (GED)
• One or more years of related experience
• A comparable amount of education and experience may be substituted for the minimum requirement.

Required Licenses and Certifications

• National Emergency Medical Services billing certifications - Coder and Financial Manager (or must obtain within six months of employment)

Additional Information

• Requires criminal background check as condition of employment.
• May be required to work outside of standard hours.
• Must be able to provide own transportation as needed for local travel.
• Must meet Carroll County Risk Management driver eligibility requirements

Why You Will Love Working Here

All the Benefits You Need

Carroll County Government is dedicated to fostering a culture focused on the total well-being of our employees. For eligible employees, this includes:

• Generous paid time off
• 13 Paid Holidays
• Flexible schedules and remote options, when applicable
• Comprehensive, no deductible medical plans including prescription and vision coverage, low-cost dental plan, and County paid basic life insurance.
• Pension, 401k, and 457 Retirement Accounts
• Up to $9,000 in Tuition Assistance per fiscal year

Find out more here: Carroll County Government | Carroll County, Maryland (carrollcountymd.gov)

Carroll County Government is an Equal Opportunity Employer. The County Commissioners of Carroll County recognize the rights of all people, including County employees, to equal opportunity. Discrimination against County employees on the basis of race, color, religion, age, gender, national origin, sexual orientation, marital status, physical or mental disability is strictly prohibited. The Americans with Disabilities Act, Titles I and II, applies to County government employment. If you have questions, suggestions, or complaints, please contact Kristy L. Bixler, Director, Human Resources and Carroll County Government Americans with Disabilities Coordinator for Employment, at the Department of Human Resources (410-386-2129) or Md. Relay 711/800-735-2258. The mailing address is 225 North Center Street, Westminster, Maryland 21157.

Questions or need assistance?

Please contact us at [e-mail], via telephone at 410-386-2129 or stop by our office at 225 N. Center Street, Room 100, Westminster, MD 21157 during normal business hours.

Disclaimer:

This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of the Employer.