Pre-Billing Intake Coordinator 2+YR

AppleOne Employment Services; Bakersfield (CA); On-site; USD 42,000 - 65,000; Full time

Job summary

AppleOne Employment Services is seeking a detail-oriented Pre Biller/Medical Intake Coordinator to support a healthcare transportation team. This role focuses on insurance verification, ambulance transport documentation review, billing compliance, and claim preparation.

Ideal candidates will have medical billing knowledge, familiarity with Medicare and Medi-Cal/Medicaid, HIPAA compliance, and strong data entry skills.

Qualifications

• High school diploma or GED required.
• 1-3 years medical billing experience preferred.
• Experience with insurance verification and eligibility review.
• Knowledge of Medicare, Medi-Cal/Medicaid, and commercial insurance plans.
• Strong computer, data entry, and documentation review skills.
• Professional communication and customer service abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Working knowledge of HIPAA regulations and patient confidentiality requirements.

Responsibilities

• Review ambulance patient care reports (PCRs) for completeness and accuracy.
• Verify insurance eligibility, benefits, and coverage requirements.
• Validate patient demographics and transport information.
• Review medical necessity documentation for ambulance transports.
• Identify, investigate, and correct missing or inaccurate billing information.
• Review ICD-10, HCPCS, and ambulance transport coding information.
• Obtain physician certifications and supporting documentation when required.
• Follow up with facilities, dispatch personnel, and field staff for missing records.
• Maintain accurate patient and authorization records.
• Ensure compliance with Medicare, Medi-Cal, HIPAA, and insurance billing regulations.
• Prepare accurate claims for submission and reimbursement processing.
• Support billing operations by reducing denials and improving claim accuracy.

Skills

Insurance verification

Eligibility review

Medicare/Medicaid/Commercial

Data entry

Attention to detail

Communication skills

Multitasking

HIPAA knowledge

Billing accuracy

Claims processing

Education

High school diploma or GED

1-3 years medical billing experience

Tools

Medical billing software

EMR/EHR

Insurance verification portals

Data entry systems

Job description

We're seeking a detail-oriented Pre Biller/Medical Intake Coordinator to join a growing healthcare transportation team. This role focuses on insurance verification, ambulance transport documentation review, billing compliance, and claim preparation. The ideal candidate has medical billing knowledge, understands Medicare and commercial insurance requirements, and can identify billing issues before claims are submitted.

Required

• High school diploma or GED

Experience with insurance verification and eligibility review

• Knowledge of Medicare, Medi-Cal/Medicaid, and commercial insurance plans
• Strong computer, data entry, and documentation review skills
• Excellent attention to detail and accuracy
• Professional communication and customer service abilities
• Ability to manage multiple priorities in a fast-paced environment
• Working knowledge of HIPAA regulations and patient confidentiality requirements

1-3 years of medical billing experience

Experience in ambulance, EMS, healthcare, hospital, or medical transportation billing

Familiarity with

• Medicare Part B
• Medi-Cal/Medicaid
• Commercial insurance carriers

Prior authorizations

Claims review processes

Revenue cycle management

Technical Skills

• Medical billing software
• Electronic Medical Records (EMR/EHR)
• Insurance verification portals
• Data entry and claims management systems

Key Responsibilities

• Review ambulance patient care reports (PCRs) for completeness and accuracy
• Verify insurance eligibility, benefits, and coverage requirements
• Validate patient demographics and transport information
• Review medical necessity documentation for ambulance transports
• Identify, investigate, and correct missing or inaccurate billing information
• Review ICD-10, HCPCS, and ambulance transport coding information
• Obtain physician certifications and supporting documentation when required
• Follow up with healthcare facilities, nursing facilities, dispatch personnel, and field staff for missing records
• Maintain accurate patient and authorization records
• Ensure compliance with Medicare, Medi-Cal, HIPAA, and insurance billing regulations
• Prepare accurate claims for submission and reimbursement processing
• Support billing operations by reducing denials and improving claim accuracy

If you have experience with medical billing, ambulance billing, insurance verification, claims processing, revenue cycle management, or healthcare administration, we'd like to hear from you.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.