Billing Specialist

Job Summary

Responsible for the billing and collection processes under the direct and indirect supervision of the TBD, the Billing Specialist completes ambulance billing and coding, answers inquiries from insurance companies and patients, and explains all actions pertaining to the billing/accounting/collections processes.

Duties and Responsibilities

• Verify completion of run reports daily and from the previous days.
• Verify patient demographics, personal insurance information and completion of all required signatures.
• Identify and separate ambulance and chair car runs into the type of billing necessary to expedite billing and payment.
• Enter necessary patient information into the billing system.
• Submit to all insurances and contracts.
• Manage electronic storage of patient care reports and paper patient care reports.
• Review account status routinely as required for each payer type; minimum of 20 days.
• Complete Medicare, MassHealth, and Insurance reviews as needed.
• Identify recurring denials and make the necessary system changes to resolve them.
• Assist customers with their account information.
• File supplement or secondary insurance upon request.
• Work with Zoll RescueNet to ensure the most efficient billing process.
• Performs other duties as assigned.

Job Authority

The Billing Specialist exercises full responsibility overall patient care coding and billing processing.

Qualifications

• Strong written and verbal communication skills.
• Team player with the ability to work independently.
• Detail-oriented with excellent follow-up.
• Excellent organizational skills, demonstrated initiative, good judgment, and flexibility.
• Demonstrates effective communication skills and effectively fosters relationships with others.
• Approaches change as an opportunity for growth and development in self and others.
• Provides the highest level of customer service to a wide variety of internal and external customers.

Job Environment

A fast-paced environment with multi-tasking, prioritizing, and frequent interruptions. Continuous interpersonal communication required with managers, staff, patients, EMS personnel and the general public.