EMS Accounts Receivable & Insurance Billing Specialist
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Job Location:
Grand Junction, CO - USA
Monthly Salary:
Not Disclosed
Posted on:
5 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Title: EMS Accounts Receivable & Insurance Billing Specialist
Reports To: Billing Manager/President
FLSA Status: NonExempt (Hourly) or Exempt (Salary dependent on experience)
Work Location: Grand Junction/Rifle CO; Hybrid or Remote (Colorado preferred)
Employment Type: FullTime
Compensation: Starting at $50000/year; increases with experience.
Position Summary
The EMS Accounts Receivable & Insurance Billing Specialist is responsible for managing resolving and collecting outstanding insurance and patient balances for ground ambulance and medical transport services. This role focuses heavily on insurance followup denial resolution appeals secondary billing and AR aging reduction across Medicare Medicaid VA/CCN commercial payers and facilities.
This is a revenuecritical role that directly impacts organizational cash flow Days in AR and net collections.
Essential Duties & Responsibilities
- Actively manage assigned insurance AR work queues with a focus on 30120 day balances
- Perform followup with Medicare Medicaid (traditional and managed care) VA/CCN Railroad Medicare and commercial payers
- Investigate and resolve claim denials underpayments and nonadjudicated claims
- Submit corrected claims appeals reconsiderations and medical necessity documentation
- Ensure timely secondary and tertiary billing
- Identify trends in denials payer delays and documentation gaps; escalate systemic issues
- Work closely with billing coding and operations teams to resolve root causes
- Maintain accurate account notes and documentation within the billing system
- Meet or exceed productivity and performance KPIs (Days in AR resolution rates appeal success)
- Maintain strict compliance with HIPAA CMS and payerspecific billing requirements
- Assist with patient balance followup and payment plan coordination as needed
- Participate in AR aging reviews and revenue cycle improvement initiatives
Required Qualifications
- Minimum 35 years of handson medical insurance AR experience
- Proven experience with ambulance or EMS billing strongly preferred
- Deep working knowledge of:
- Medicare (FFS MA Railroad)
- Medicaid (traditional & managed care)
- VA / CCN billing
- Commercial insurance followup
- Demonstrated success resolving denials and aged AR
- Strong understanding of EOBs remittance advice and payer portals
- Excellent written and verbal communication skills
- High attention to detail and strong documentation habits
- Proficiency with billing systems spreadsheets and Microsoft 365 tools
Preferred Qualifications
- Prior EMS or medical transport billing experience
- Experience working AR by payer class
- Familiarity with EMSspecific modifiers PCS requirements and medical necessity rules
- CPC CPB or equivalent certification (preferred not required)
Compensation: Starting at $50000/year; increases with experience.
Key Performance Indicators (KPIs)
- Days in AR reduction
- % of AR > 90 days
- Denial resolution rate
- Appeal success rate
- Timeliness of followup and documentation accuracy
Additional Information :
All information will be kept confidential according to EEO guidelines.
Remote Work :
No
Employment Type :
Full-time
Key Skills
- Data Entry
- Customer Service
- Collection calls
- A/R Management
- credit memos
- Past due Account
- General Ledger Accounting
- Accounting
- CMA
- Excel
- Payment Plans
- Account Balances
- Credit Card
- Financial statement
- Special projects
About Company
EMS Unlimited is an exciting, growing and professional provider of many EMS related services such as Wildland & Disaster Response, Special Event Medical, EMS Staffing, EMS Training and ambulance transport. We are seeking motivated and positive professionals who understand the importan ... View more
