Ambulance Billing Specialist

MTI Ambulance•Los Angeles, CA

10d•$35 - $42•Onsite

About The Position

We are a growing ambulance company providing non-emergent Ambulance Services throughout California. Due to our high-volume environment, we are seeking an experienced Ambulance Billing Specialist who understands the complexities of ambulance reimbursement and can take full ownership of the revenue cycle. This is not an entry-level billing position. We are looking for someone who is experienced, accountable, detail-oriented, and results-driven, with a proven ability to manage claims, resolve denials, work A/R, and maximize reimbursement. The ideal candidate will be comfortable working independently, understanding payer requirements, identifying documentation issues, and aggressively following up on outstanding accounts.

Requirements

Ambulance billing experience is mandatory. Applicants without ambulance-specific billing experience will not be considered.
At least 2–3 years of hands-on ambulance billing experience
Strong working knowledge of Medicare ambulance billing guidelines
Experience billing Medi-Cal and Medi-Cal managed care plans
Strong understanding of ambulance levels of service and billing requirements
Experience with PCS forms and medical necessity documentation
Knowledge of ambulance modifiers, base rates, mileage, and transport billing
Strong working knowledge of ICD-10-CM diagnosis coding
Proven experience handling denials, rejections, underpayments, and appeals
Demonstrated ability to independently manage A/R and payer follow-up
Excellent attention to detail and strong organizational skills
Ability to work efficiently in a high-volume billing environment
Strong communication and problem-solving skills
Ability to take ownership of assigned accounts and follow issues through to resolution

Nice To Haves

Experience with ambulance billing software or EMS billing platforms
Experience working with California ambulance providers
Experience with Medicare, Medi-Cal, and commercial ambulance payers
Familiarity with payer portals and electronic claim submission
Experience preparing formal appeals and reconsiderations
Experience tracking billing KPIs and A/R performance

Responsibilities

Manage the full ambulance billing and revenue cycle process, from charge entry through final payment
Submit clean, accurate, and timely claims to Medicare, Medi-Cal, managed care plans, and other payers
Review patient and transport documentation for billing accuracy and compliance
Verify medical necessity, PCS forms, transport narratives, mileage, and level of service
Apply appropriate billing codes, modifiers, base rates, and mileage charges
Manage and prioritize accounts receivable (A/R) to maximize collections and reduce aging
Perform consistent payer follow-up on unpaid, delayed, and underpaid claims
Research and resolve claim rejections, denials, underpayments, and payment discrepancies
Prepare and submit effective appeals and reconsiderations when claims are denied
Post and reconcile insurance and patient payments accurately
Identify recurring denial and underpayment trends and recommend corrective action
Communicate with operations, dispatch, and field staff regarding missing or incomplete documentation
Monitor billing performance and maintain accurate records of claim status and follow-up activity
Track and report key billing metrics, including: Clean claim rate, A/R aging, Collection performance, Denial rate, Appeal outcomes, Unresolved claims
Assist with payer audits, documentation requests, compliance reviews, and other revenue-cycle projects
Maintain strict confidentiality and comply with applicable billing, privacy, and regulatory requirements