EMS Revenue Specialist

Superior Ambulance Service, Inc.; Elmhurst (IL); Presencial; USD 29 000 - 36 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Career advancement

Competitive wages

On-demand pay before payday

401(k) with company contribution

Medical, Dental, Vision & Life Health

Voluntary Insurance

Company Paid Life Insurance & Long‑—OT

Paid vacation & sick time

Holiday pay

Referral bonus available

Resumo da oferta

Superior Ambulance Service, Inc. in Elmhurst, IL seeks an EMS Revenue Specialist to manage insurance billing, verify benefits, and resolve account balances with health insurers. You will file corrections, appeals, and communicate with hospitals to accelerate payments.

Two years in customer care or account management, familiarity with Explanation of Benefits, and strong attention to detail are required. Proficiency in Word/Excel is helpful. Competitive wages and benefits offered.

Qualificações

• Minimum two years’ experience in customer care, account management or similar role.
• Ability to read and understand the Explanation of Benefits or Electronic Remittance Advice.
• Understanding of insurance terminology, rejections vs denials.
• Healthcare knowledge is preferred.
• Quick learner with good verbal communication and ability to handle high call volume.

Responsabilidades

• Places and receives calls regarding billing insurance questions and other patient service activities.
• Process accounts according to the action required to resolve account balances.
• Resolve insurance carrier denials, appealing claims, contacting carriers on open accounts.
• Communicate with customers, agencies, facilities, and hospitals.
• Research patient accounts to verify health insurance coverages and audit billing.
• Compute adjustments based on EOB remittance and contracts.
• Ensure data entry accuracy and attention to detail.
• Collect outstanding balances and resolve account discrepancies.
• Follow company policy and procedures.

Conhecimentos

Customer care

Account management

Verbal communication

Multitasking

Attention to detail

Formação académica

College preferred but not required

Ferramentas

Word

Excel

Email

Chat Applications

Descrição da oferta de emprego

Overview

EMS Revenue Specialist

The EMS Revenue Specialist is responsible for working directly with the Health Insurance Companies to resolve open balances. This could include but not limited: utilizing payer portals to check claim status, updating patients’ insurance policy, reviewing / updating the ICD-10 code listed, sending corrected claims and/or appeals. All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.

Responsibilities

Responsibilities of the EMS Revenue Specialist

• Places and receives calls regarding billing insurance questions and other patient service activities.

• Process accounts according to the action required to resolve account balances.

• Resolving insurance carrier denials, appealing claims, contacting carriers on open accounts, and responding to insurance carrier correspondence and/or inquiries.

• Comfortable communicating with any caller including customers, agencies, facilities, and hospitals.

• Employ one-step resolution practices for clients and patients through open lines of communication.

• Research patient accounts to verify all health insurance coverages. Audit patient accounts to verify proper billing process was followed.

• Compute adjustments based on EOB's remittance and insurance contracts.

• Ensure accuracy in data entry and consistent attention to detail.

• Collect outstanding balances as well as identify, address, and resolve account discrepancies while following company policy and procedures.

• Demonstrates knowledge and compliance of insurance, local, state, and federal billing.

• Ability to complete tasks efficiently both individually and in a group environment.

• Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.

Key Skills of the EMS Revenue Specialist

• Well-versed with medical billing practices that include an understanding of insurance billing codes, regulations, and procedures.

• Ability to investigate and resolve software issues, billing errors and disputes.

• Effective communicationskills with clients, insurance companies, patients, staff members and management.

• Ability to manage multiple tasks and meet deadlines.

• Must have great attention to detail with high accuracy.

Qualifications

Qualifications of the EMS Revenue Specialist

• College preferred but not required.

• Minimum two years’ experience in customer care, account management or similar role.

• Ability to read and understand the Explanation of Benefits or Electronic Remittance Advice.

• Understands the difference between rejections and denials as well as working accounts.

• Healthcare knowledge is preferred.

• Must be a quick learner and motivated individual with excellent verbal communications skills.

• Ability to “multi-task” and manage spurs of high call volume / stress.

• Positive, can-do attitude and with good judgement demonstrating ability to elevate account when needed.

• Ability to receive and implement feedback.

Computer and Office Qualifications

• Computer literacy is a must; Typing skillset of at least 45 WPM is highly desired.

• Experience working in an active office environment.

• Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously.

• Must be able to sit / stand for 8 hours minimum in an office environment.

• Must be able to use Word, Excel Spreadsheet, Email, Chat Applications, and other software applications.

• Must be able to read, comprehend, and apply job-related rules, policies, and procedures.

Benefits

• Opportunities for career advancement

• Competitive wages

• Ability to receive on demand pay before pay day

• 401(k) with company contribution

• Medical, Dental, Vision & Life Insurance

• Voluntary Insurance (short-term disability, critical illness, accidental & legal)

• Company Paid Life Insurance and Long-Term Disability

• Paid vacation & sick time

• Holiday pay

• Referral bonus available

Salary Range

USD $21.00 - USD $26.00 /Hr. rates offered based on years of experience