Ambulance Billing Specialist

Salt River Pima-Maricopa Indian Community•Scottsdale, AZ

About The Position

Under the supervision of an assigned manager, the Ambulance Transportation Billing Specialist analyzes ambulance transportation patient care medical reports for quality assurance utilizing clinical protocols, regulatory agency requirements, and medical billing process requirements. Additionally, this position develops and delivers training to new employees on ambulance transportation documentation and billing. This is treated as an FLSA non-exempt.

Requirements

Knowledge of the culture, customs, traditions, history and government of the Salt River Pima-Maricopa Indian Community
Knowledge of the Salt River Fire Department policies and procedures.
Knowledge of Medicare, Medicaid, and AHCCS rules and regulations.
Knowledge of Medical and/or ambulance billing process
Familiarity with NEMSIS and Patient Care Reporting Software
Knowledge of Medical billing principles
Knowledge of HIPPA laws
Ability to understand and perform in accordance with Medicare, Medicaid, and AHCCCS regulations and laws, and departmental policies
Ability to develop and implement revenue generation strategies
Ability to perform research, analyze findings and prepare administrative and technical reports
Ability to meet and deal tactfully and effectively with the public, subordinates, peers, and supervisors
Ability to manage time in an effective manner.
Ability to provide effective communications
Ability to perform analysis and problem solving.
Ability to handle multiple projects simultaneously and use sound judgement in prioritizing.
Ability to perform other duties as assigned
Skill in Microsoft Office and other related software programs
Skill in Gathering and analyzing data sets for billing purposes
Skill in providing a professional appearance, time management and punctuality
Skill in program management
Skill in working effectively with web-based reports
Graduation from an accredited college or university with an associate’s degree in accounting, finance, or closely related field; OR any equivalent combination of training, education and experience to provide the requisite knowledge and ability to perform the duties as described.
Two (2) years of experience in medical or ambulance billing and medical coding.
Experience with Medicare/Medicaid regulations and laws.

Nice To Haves

Certified Ambulance Coder Certification and/or National Ambulance Association Coder Certification required within one year of employment.

Responsibilities

Analyzes ambulance transport patient care reports for billing and clinical protocol compliance to include demographic information and insurance billing information. Requests updated face sheets from receiving facility as needed.
Performs a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing of medical charts and medical billing, preparing patient refunds, collection accounts and deposits; conducts research; determines and raises pertinent issues, summarizes findings and presents results; and administers programs in assigned area.
Assists with updating spreadsheets and reports with current fiscal year data, graphs and budget information. Assists with the management of associated special revenue accounts, invoicing, and monthly reconciliations.
Researches, compiles, and creates reports and presentations where routine analysis or technical data is required; notifies appropriate individuals of potential problems based upon complied information and data and recommends potential solutions.
Participates in a variety of meetings, briefings, trainings, committees, and/or other related groups to provide support in assigned area of responsibility.
Responds to citizen inquiries regarding all aspects of ambulance billing.
Completes training of new hire transportation employees in the aspects of billing compliance.
Establishes cooperative relationships with local and regional partners.
Respond to inquiries from patients, hospitals, and insurance payers regarding transport claims; setting up payment plans; reviewing hardship requests; explaining and educating patients on the billing process.
Performs other job-related duties that enhance and facilitate departmental operations.