Medical Biller — Ambulance / EMS Claims

Priority Patient Transport; United States; Remote; USD 45,000 - 50,000; Full time

Job summary

Priority Patient Transport, a Virginia-based emergency and non-emergency medical transportation provider, seeks a remote Medical Biller. You will join a small billing team where accuracy and timely claims processing directly impact cash flow.

Responsibilities include validating transports for billable details, submitting clean claims to Medicare, Medicaid, commercial carriers, and NEMT brokers, and handling denials and patient communications.

Qualifications

• Two+ years of medical billing experience with full-cycle claims (submission, posting, denials, follow-up).
• Experience reading and acting on an EOB or ERA; know how to address denial codes.
• Comfortable speaking on the phone with payers and patients.
• Detail-oriented, accurate, and organized.
• Reliable high-speed internet and private workspace; availability during Eastern business hours.

Responsibilities

• Review transports for billable documentation: level of service, origin/destination, signatures, and CST statements.
• Build and submit clean claims across payer mix (Medicare, Medicaid, commercial carriers, VA, NEMT brokers).
• Post payments and adjustments from remittance files and broker reports.
• Work denials: read reason codes, correct, appeal when necessary, and resubmit.
• Follow up on unpaid claims by aging buckets; call payers and document touches.
• Verify eligibility and benefits; confirm trip authorizations in broker portals.
• Chase missing documentation (PCS forms, signatures, face sheets) from facilities.
• Generate patient statements and handle patient billing calls professionally.
• Keep work queue current and flag recurring payer patterns.

Skills

Medical billing

Full-cycle claims

EOB/ERA interpretation

Payer communications

Attention to detail

Remote work

Eastern hours availability

Education

High school diploma

CPC/CPC-A/CAC certification

Tools

TraumaSoft

NEMT broker portals

Job description

$45,000 - $50,000 a year

Priority Patient Transport is a Virginia-based emergency and non-emergency medical transportation provider. We run ambulance and wheelchair transport out of six locations across the Shenandoah Valley and Central Virginia, serving hospitals, skilled nursing and rehabilitation facilities, hospice agencies, and non-emergency medical transportation brokers.

We are hiring a Medical Biller to join our billing team. This is a remote, full-time role on a small team where your work is visible and it matters — every claim you clean up is cash in the door.

What you will do

• Review completed transports for billable documentation: level of service, loaded mileage, origin and destination, signatures, and Physician Certification Statements.


• Build and submit clean claims across our payer mix — NEMT brokerages (Modivcare, MTM, SafeRide, Access2Care, MediDrive), Medicare, Medicare Advantage, commercial carriers (Anthem / BCBS, UnitedHealthcare, Humana, Aetna, Cigna, Sentara), Medicaid MCOs, VA Community Care, facility accounts, and patient self-pay.


• Post payments and adjustments from 835 remittance files, EOBs, and broker payment reports.


• Work denials and rejections: read the reason code, correct the claim, appeal when the denial is wrong, and resubmit.


• Follow up on unpaid claims by aging bucket. Call payers. Document every touch.


• Verify eligibility and benefits, and confirm trip authorizations in broker portals.


• Chase missing documentation — PCS forms, signatures, and face sheets — from facilities and crews.


• Generate patient statements and handle patient billing calls with patience and professionalism.


• Keep your work queue current and flag payer patterns you see repeating.

What we require

• Two or more years of medical billing experience with full-cycle claims: submission, posting, denials, and follow-up.


• Experience reading and acting on an EOB or ERA — you can look at a denial code and know what to do next.


• Comfortable on the phone with payers and with patients.


• Accurate and organized. In this job, detail is the job.


• Reliable high-speed internet, a private home work space, and availability during Eastern business hours.


• High school diploma or equivalent.

Strongly preferred

• Ambulance, EMS, or NEMT billing experience. If you have it, this role will feel familiar from day one and you will be considered first.


• Knowledge of HCPCS A0425–A0434, origin and destination modifiers, and ALS / BLS / SCT levels of service.


• TraumaSoft experience — mention it in your first line.


• NEMT broker portal experience.


• Virginia Medicaid or Virginia MCO experience.


• CPC, CPC-A, CAC, or similar certification.