Temporary - Ambulance Billing and Coding Representative l (Insurance Verification) -EMS

City of Austin; United States; On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

Competitive Benefits

Retirement Security

Sustainable Transportation Options

Focus on Wellness

Career Growth

Modern Workspaces

Job summary

City of Austin’s Emergency Medical Services Department seeks an Ambulance Billing and Coding Representative I to research patient demographics and insurance information for accurate billing. You will determine responsible parties, verify coverage, and maintain data integrity while supporting efficient claim submissions.

The role emphasizes strong organization, problem solving, and confidentiality in a fully on-site environment. Competitive benefits accompany a stable city government position.

Qualifications

• Research and verify patient demographic and medical insurance information for accurate billing.
• Determine the primary, secondary, or other responsible party for each ambulance transport.
• Verify insurance eligibility and coverage through portals.
• Research account information using available resources.
• Maintain strong organizational, problem‑solving, and multitasking skills.

Responsibilities

• Receive and answer customer service inquiries related to ambulance billing.
• Investigate accounts using multiple resources in compliance with laws.
• Review confidential medical and credit information with appropriate safeguards.
• Review pre‑hospital care reports for billing accuracy.
• Enter patient, financial, diagnostic, and statistical data into billing systems.
• Determine order of responsible parties and bill according to CMS guidelines.
• Submit payer forms electronically and mail statements to expedite payment.
• Post and balance payments; process refunds and write‑offs with management approval.
• Handle denied claims and initiate appeal processes.
• Work aging reports to optimize cash flow and communicate with patients/payers.

Skills

Researching patient demographics

Verify insurance eligibility

Ambulance billing knowledge

Data entry accuracy

Customer service

Job description

About This Position

The City of Austin's Emergency Medical Services Department provides 9-1-1 emergency medical response to the citizens of Austin and Travis County serving a population of over 2.2M citizens in a service region of over 1,039 square miles. While most of the assistance we give to the community is medical in nature, the smallest part of what we do involves truly time-critical life-threatening emergencies. Yet everything we do is about service: service to our patients, their families and loved ones; service to our community; and service to the people who make up Austin-Travis County Emergency Medical Services. The Ambulance Billing and Coding Representative I will research and verify patient demographic and medical insurance information to ensure accurate billing and proper claim submission. Responsibilities include determining the appropriate primary, secondary, or other responsible party for each ambulance transport; verifying insurance eligibility and coverage through insurance portals; and researching account information using various resources. The position requires strong organizational, problem-solving, and multitasking skills to manage daily skill production while maintaining accuracy. Additional responsibilities include reviewing data for errors, maintaining effective relationships with internal and external customers, providing exceptional customer service, and exercising discretion when handling confidential information.

Job Description

Purpose: Under limited supervision, using independent discretion and judgement, this position performs advanced-level ambulance billing, recordkeeping, and accounting tasks related to the recovery of revenue for all billable services provided by Austin-Travis County EMS.

Duties, Functions and Responsibilities

Receives and answers customer service inquiries, requests, and complaints from the public related to ambulance billing. Responds verbally and in writing while complying with HIPAA, other public record laws, and confidentiality. Investigates and gathers information on accounts using a wide variety of resources within the scope of Local, State and Federal laws. Daily contact with confidential medical and credit information requiring knowledge and compliance with laws related to the custody, security, and release of this information. Reviews pre-hospital care reports for completeness and accuracy of information for billing. Researches and enters patient, financial, diagnostic, and statistical information into billing system. Determines order of primary, secondary, or other responsible parties for ambulance fee charges and bills appropriately following Medicare or Medicaid rules. Determines appropriate level of care and medical necessity to assign proper diagnosis codes, and charges based on patient care documentation as defined by Centers for Medicare and Medicaid Services (CMS) guidelines. Electronically submits healthcare-related forms to payers in accordance with filing deadlines. Prints, reviews, and mails billing statements for claims, and follows up to expedite payment in a timely manner. Collects cash and electronic payments. Posts and balances payments on ambulance accounts. Processes refunds and write-offs for management approval. Receives and processes rejected or denied claims and initiates appeal process. Works aging reports to optimize cash flow. Corresponds verbally and in writing with patients, third-party payers, and insurance carriers on claim denials and past due accounts for resolution of payment issues.

Benefits

• Competitive Benefits: Enjoy a comprehensive compensation package that includes generous leave, work-life balance programs, and extensive benefits.
• Retirement Security: Plan for the future with the City of Austin Employees' Retirement System.
• Sustainable Transportation Options: Commute easily with access to public transit and bike-friendly infrastructure.
• Focus on Wellness: Stay healthy through wellness programs, on-site fitness centers, and mental health support.
• Career Growth: Advance your skills and expertise with professional development and leadership opportunities.
• Modern Workspaces: Work in innovative and sustainable environments that foster collaboration and inspiration.

Location: 15 Waller St

Salary Range: $22.05-$24.26

Hours: Monday - Friday 7:30AM-4:30PM *Fully on-site position

Veterans

Veterans: Veterans, we thank you for your service and welcome your application. If you are selected as the top candidate for the position, you will be required to provide your DD214.

Internal Applicants

Internal Applicants: Employees in Good Standing, who are candidates within the Department or division that the position resides in, and who meet the minimum and preferred qualifications for the position will be included in the initial interview. ATCEMS employees must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified. Please be aware that the Job Posting Close Date reflects the final day to apply, but the posting will close at 11:59 PM the day before the date listed. All application steps, including attachments and submission, must be fully completed before that time. We also recommend that you save or print a copy of the job posting for your records. Once a posting has closed, it will no longer be viewable in the system.

EEO Statement for City of Austin

The City of Austin will not discriminate against any applicant or employee based on race, creed, color, national origin, sex, gender identity, age, religion, veteran status, disability, or sexual orientation. In addition, the City will not discriminate in employment decisions on the basis of an individual's AIDS, AIDS Related Complex, or HIV status; nor will the City discriminate against individuals who are perceived to be at risk of HIV infection, or who associate with individuals who are believed to be at risk. City of Austin is committed to compliance with the Americans with Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call [phone] or Texas Relay by dialing 7-1-1.

Company Culture

JOIN THE CITY OF AUSTIN TEAM At the City of Austin, we are more than just an employer— we are a vibrant community dedicated to shaping one of the nation’s most dynamic and innovative cities. As we strive to fulfill our commitment as public servants, it is important that we ground our efforts in a set of guiding principles – Empathy, Ethics, Excellence, Engagement, and Equity – that anchor our delivery of services that significantly impact the lives of Austinites. Joining the City of Austin means embarking on a purposeful career, contributing to the community, and being part of a forward-thinking organization that values every employee. What Makes the City of Austin Special? Make a Difference: Join a team driving meaningful change in one of the fastest-growing cities in the nation. Value and Innovation: Work in an environment where employees are valued and innovation thrives. Competitive Benefits: Enjoy a comprehensive compensation package that includes generous leave, work-life balance programs, and extensive benefits. Retirement Security: Plan for the future with the City of Austin Employees’ Retirement System. Sustainable Transportation Options: Commute easily with access to public transit and bike-friendly infrastructure. Focus on Wellness: Stay healthy through wellness programs, on-site fitness centers, and mental health support. Career Growth: Advance your skills and expertise with professional development and leadership opportunities. Modern Workspaces: Work in innovative and sustainable environments that foster collaboration and inspiration. By joining us, you become part of a community that values its people and is committed to making Austin the most thriving and resilient city in the country.

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