Ambulance Revenue Cycle Specialist

Presbyterian Healthcare Services

4d • Remote

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Ambulance Revenue Cycle Specialist to join our team.

Requirements

• High School education (G.E.D.) with a minimum of two (2) years experience in admissions, medical claims processing, insurance billing, claims follow-up, or collections preferred.
• Six-months to one-year experience in a computerized accounts receivable system preferred.
• Short-term training in business office process and procedures preferred.
• PC experience with Microsoft Office Word and Excel.
• Excellent organizational, problem solving, verbal, written communication, and ability to interact with other functional areas required.
• Demonstrated ability to work effectively in a team environment.
• Must be able to prioritize and manage a high volume workload.
• Knowledge of ICD9/ICD10 and HCPCS

Responsibilities

• Performs accounts receivable follow-up activities for their assigned payers/accounts using daily aged account work queues and/or A/R reports.
• Responsible for contacting insurance companies, patients, and employers regarding outstanding ambulance claims.
• Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims.
• Must maintain a system to ensure timely follow-up is completed for each outstanding claim.
• Maintain workflow consisting of outstanding accounts assigned.
• Responsible for following-up on all accounts listed in the workflow until resolved.
• Refer accounts to Supervisor for write-off, agency, or attorney referral.
• Must work closely with all outside agencies contracted and assist them with account resolution for any accounts assigned to them by ARC Supervisor or Manager.
• Performs accounts receivable credit balance reimbursement analysis to determine if reimbursement, allowances, and patient payments received are correct.
• Responsible for contacting insurance companies, patients, employers, etc. to resolve any over payment issues that require their assistance.

Benefits

• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees