DUTIES:
- Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial Medicare Medicare Advantage Medicaid Medicaid Managed Care third-party contract etc.
- Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA The Security Rule Personal Financial Information Personal Health Information
- Demonstrate and be proficient with general accepted accounting principles and methods with the ability to apply understanding and application
- Basic analytical skills with the ability to apply logical decision making skills to resolve claims or barriers impacting work product
- Ability to demonstrate proficiency with basic office automation technologies including internet payor web applications or portals and Microsoft Office applications.
- Ability to demonstrate proficient use with various patient accounting billing software(s) medical records systems and payment portals
- Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight
- Ensures quality customer service is provided to all patients including but not limited to: taking inbound patient phone calls properly verifying insurance coverage filing insurance claims insurance follow-up payment posting and returning phone calls in timely fashion
- Ensures the accuracy of charges applied payments posted denial/follow-up procedures and documentation
- Meets established quality and productivity standards
- Stays current on ambulance coding and regulatory billing guidelines
- Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
- Maintains confidentiality of information as assigned and abides by all applicable laws and the corporate compliance program.
- Demonstrates continuous effort to improve operations streamline work process and work cooperatively and jointly to provide quality and seamless customer service
- Maintains positive working relationships with internal and external customers
- Knowledge of ambulance medical billing and procedures
- Participate in department and agency-wide activities to include meetings trainings specialized committees and workgroups
EDUCATION/EXPERIENCE:
- High school graduate or equivalency
- Experience in healthcare revenue cycle process
- Excellent verbal communication skills
- Demonstrated ability in the use of Microsoft products
- Demonstrated ability to use computer internet web applications
- Ability to perceive and distinguish emotions during interactions with customers via telephone or in person and respond professionally with compassionate care
- Maintain acceptable attendance and adhere to scheduled work hours
- Ability to work within a team-oriented fast-paced customer-focused environment
- Ability to apply on demand problem solving skills
CERTIFICATIONS/LICENSES/REGISTRATIONS:
Certified Ambulance Coder (initial certification only) preferred
Certified Professional Coder (CPC-AAPC) preferred
Certified Professional Biller (CPB-AAPC) preferred
Associates Degree preferred
Individuals must not be excluded from filing claims to any federal or state government payor.
SALARY RANGE:
Starting pay $21.11/hr; additional based on experience.
Interested applicants must complete the online application and upload a resumeNO LATER THAN JULY 8th 2025to be considered for the position.
If you have any further questions please contact Ndidi Okafor at
Required Experience:
IC