Medical Billing Specialist

TEAM MOBILE HEALTH CARE; Atlanta (GA); Vor Ort; USD 45.000 - 65.000; Vollzeit

Zusammenfassung

Team Mobile Health Care is seeking a Billing Specialist to ensure accurate claim preparation, coding review, and timely postings. You will act as a critical link between field operations and the billing department, reviewing patient care documentation, coordinating corrections with EMS crews, and ensuring claims are complete before submission.

A successful candidate has at least a high school diploma and experience with medical billing and payer guidelines, and you will help maintain a clean

Qualifikationen

• High school diploma or GED required.
• Two years of medical billing experience preferred.
• Experience with ambulance or EMS billing strongly preferred.
• Knowledge of ICD-10, HCPCS, and CPT coding principles.
• Experience with Medicare, Medicaid, and commercial insurance billing.
• Proficiency using electronic billing software and Microsoft Office.

Aufgaben

• Review PCRs for completeness, accuracy, and billing readiness.
• Apply coding per Medicare, Medicaid, and payer guidelines.
• Submit clean claims with high first-pass acceptance.
• Investigate and resolve front-end claim edits and rejections.
• Work front-end insurance denials to prevent delays.
• Monitor payer updates and implement changes to billing rules.
• Return incomplete PCRs to field staff for correction.
• Coordinate with Operations, Dispatch, and clinical staff for missing docs.
• Post insurance and patient payments and adjustments.
• Reconcile postings and identify discrepancies.
• Maintain accurate billing activity docs.
• Assist with month-end reconciliation activities.
• Identify billing trends and suggest process improvements.
• Maintain HIPAA compliance.
• Participate in quality assurance and continuous improvement.
• Perform other duties as assigned.

Kenntnisse

Attention to detail

Communication skills

Time management

Team collaboration

Ausbildung

High school diploma or GED

Tools

Electronic billing software

Microsoft Office

Jobbeschreibung

Description

Position Summary

The Billing Specialist is responsible for ensuring timely and accurate claim preparation, coding review, payment posting, and front-end denial resolution to maximize reimbursement and maintain compliance. This position serves as a critical link between field operations and the billing department by reviewing patient care documentation, coordinating corrections with EMS crews, and ensuring claims are complete before submission. The Billing Specialist helps maintain a clean claims pipeline while supporting Team Mobile Health Care’s commitment to financial stewardship and exceptional patient service.

Essential Duties and Responsibilities

• Review Patient Care Reports (PCRs) for completeness, accuracy, and billing readiness.
• Apply appropriate coding in accordance with Medicare, Medicaid, and commercial payer guidelines.
• Submit clean claims while maintaining high first-pass acceptance rates.
• Investigate and resolve front-end claim edits and electronic claim rejections.
• Work front-end insurance denials to prevent delays in reimbursement.
• Monitor payer updates and implement changes to billing requirements, coding guidance, and reimbursement policies.
• Return incomplete or inaccurate PCRs to field staff for correction and follow through until documentation requirements are met.
• Coordinate with Operations, Dispatch, and clinical staff to obtain missing documentation required for billing.
• Post insurance payments, patient payments, contractual adjustments, and other payment transactions accurately and timely.
• Reconcile payment postings and identify discrepancies requiring investigation.
• Maintain accurate documentation of billing activities within the billing system.
• Assist with month-end reconciliation activities as assigned.
• Identify billing trends and communicate opportunities for process improvement.
• Maintain confidentiality and compliance with HIPAA and all applicable healthcare regulations.
• Participate in departmental quality assurance initiatives and continuous improvement efforts.
• Perform other duties as assigned.

Requirements

Minimum Qualifications

• High school diploma or GED required.
• Two years of medical billing experience preferred.
• Experience with ambulance or EMS billing strongly preferred.
• Knowledge of ICD-10, HCPCS, and CPT coding principles.
• Experience with Medicare, Medicaid, and commercial insurance billing.
• Proficiency using electronic billing software and Microsoft Office.

Knowledge, Skills & Abilities

• Strong understanding of revenue cycle processes.
• Excellent organizational and time management skills.
• High level of accuracy and attention to detail.
• Strong analytical and problem-solving abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Excellent written and verbal communication skills.
• Ability to work collaboratively with field staff and leadership.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications required. Team Mobile Health Care reserves the right to modify, add, or remove job duties and responsibilities at any time based on business needs.

Equal Employment Opportunity Statement

Team Mobile Health Care is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

Compensation: Compensation is commensurate with qualifications, experience, and internal compensation practices.