Ambulance Billing Clerk (Air/Ground)

St. Luke’s University Health Network•Allentown, PA

13d•Onsite

About The Position

The St. Luke’s Emergency Transport Services (SLETS) Ambulance Billing Clerk is responsible for the completion of the revenue cycle of the SLETS Organization. This role involves the accurate and timely preparation of accounts for submission to third-party carriers, intermediaries, and guarantors in accordance with SLETS, SLUHN, and CMS policy and Billing regulations. The Ambulance Billing Clerk is responsible for the maintenance of accounts through monitoring of aging reports and follow-up of denials and unpaid accounts, including movement to collections. This position interacts with patients, internal and external customers via telecommunications devices and written correspondence, serving as a representative of SLETS and SLUHN.

Requirements

High School diploma or equivalent required.
Experience in computer operations.
Previous experience in health care/ambulance billing.
Office skills including typing, filing, bookkeeping.
Excellent organizational skills; pleasant telephone manner.
Ability to perform job with a minimum of direct supervision.

Nice To Haves

NAAC Certified Ambulance Coder (CAC) Preferred (required after 180 days of employment).
Associates degree in business or medical billing related field preferred but not required.

Responsibilities

Responsible for the entirety of the SLETS Revenue cycle including submission of ambulance billing claims, follow-up on claim denials, posting payments to customer accounts, applying contractual discounts and write-off’s.
Monitor unpaid accounts and takes appropriate action (i.e. rebill, submit to the guarantor, phone calls, etc).
Regular review of past due accounts for collections submission.
Review billing claim overpayments and process refunds.
Handle insurance payment negotiations based on SLETS policy criteria.
Responsible for the communication and/or updating of correct patient information to appropriate staff(s), department(s), and computer system(s).
Responsible for accurate accounting of all claims and/or bills.
Resolves or assists complaints, misunderstandings, and inquiries related to billing.
Ongoing application of all billing requirements and/or regulations.
Coordination of SLETS annual Subscription Program.
Demonstrates responsibilities in meeting organizational and personal standards.
Coordinates incoming, outgoing and internal communications.
Demonstrates ability to use various types of computer software programs.
Responsible for own professional and personal growth through participation in continuing education programs.
Records appropriate statistics and generates reports as required.
Performs other clerical duties as needed.
Coordinates with Quality Improvement Team and Educational and Development Teams to identify documentation trends and relay best practices.
Works directly with SLETS Management Team to identify charting discrepancies and PCR compliance outliers.
Reviews flight records, patient care reports, dispatch records, and transport documentation to ensure billing readiness and compliance.
Prepares and submits air ambulance claims to third-party carriers, intermediaries, and guarantors within established departmental timelines.
Applies appropriate air ambulance billing codes, modifiers, origin and destination codes, and charges according to payer guidelines.
Other related duties as assigned.