BLS Ambulance Service Team Structure Responsibilitie

EPOCH HEALTHCARE LLC•Norwood, MA

9d•Onsite

About The Position

This document outlines the team structure, responsibilities, and requirements for obtaining a BLS Ambulance Service License in Massachusetts, adhering to 105 CMR 170.000 regulations. It details roles from executive leadership to clinical field staff and administrative support, emphasizing compliance, patient care, and operational efficiency.

Requirements

Business license
NPI registration
EMS operations background preferred
MA OEMS familiarity
Licensed MA physician with EMS medical director authority
Current MA EMT-Basic cert
BLS CPR
Valid MA driver's license
Hazmat & MCI training
Current MA EMT-Basic OR First Responder per 105 CMR 171.000
Valid MA driver's license in good standing
Medical billing experience
MassHealth & Medicare billing familiarity
Clean driver record
Familiarity with OEMS vehicle standards

Nice To Haves

Affiliation agreements with affiliate hospital(s) (MGH, BMC)
MA Office of Emergency Medical Services (OEMS) contracts
MA OEMS familiarity
Affiliation agreement with Epoch Health Care LLC
Qualified First Responder driver
Dual-hatted with Operations Manager for Vehicle & Equipment Coordinator role

Responsibilities

Overall strategic direction and accountability for BLS license acquisition.
Sign affiliation agreements with affiliate hospital(s).
Authorize capital expenditures for ambulance vehicle, equipment, and personnel.
Execute contracts with MA Office of Emergency Medical Services (OEMS).
Serve as primary liaison to OEMS during licensure review.
Compile and submit BLS license application to MA OEMS (Form OEMS-1).
Maintain all required documentation (vehicle inspection, insurance, policies).
Ensure 105 CMR 170.000 ongoing compliance post-licensure.
Coordinate QA/QI program required under affiliation agreement.
Manage scheduling to maintain 24/7 BLS coverage per 105 CMR 170.385.
Track personnel certifications and renewals.
Approve and oversee all clinical protocols for BLS operations.
Assess and certify EMT-Basic skill competencies per 105 CMR 170.305(B)(1)(a).
Provide medical oversight and sign off on QA/QI reviews.
Authorize EMT/First Responder staffing configurations if applicable.
Act as point of contact for OEMS for all medical issues.
Responsible for all patient care at the BLS level on every call.
Assess patient condition and administer BLS interventions (CPR, O2, AED, splinting, bleeding control).
Complete electronic Patient Care Reports (ePCR) for every transport.
Ensure ambulance is stocked, clean, and OEMS-inspection-ready at all times.
Participate in QA/QI program reviews under affiliation agreement.
Meet minimum experience and skill competency levels set by Medical Director.
Report any discipline, conviction, or license issue to agency within 5 days (105 CMR 170.305).
Drive the ambulance safely and operate within MA traffic law.
Assist lead EMT-Basic with patient care and equipment.
Ensure driving record remains clean; disclose any violations per 105 CMR 170.305(B)(1)(b).
Complete required annual continuing education.
Respond as second EMT-Basic when patient acuity requires per agency protocol.
Support QA/QI documentation requirements.
Submit ambulance transport claims to MassHealth and Medicare.
Ensure compliance with ambulance billing regulations (CMS A-0001 form).
Track authorization requirements and denied claims.
Maintain transport documentation supporting medical necessity.
Coordinate with EMTs for accurate ePCR data to support billing.
Ensure ambulance vehicle meets MA OEMS Class I or II certification standards.
Coordinate scheduled vehicle inspections with OEMS.
Maintain inventory of required BLS equipment per 105 CMR 170.430.
Manage vehicle maintenance logs, insurance certificates, and registration.
Track and replenish medical supplies (O2, AED pads, PPE, etc.).
Obtain signed Affiliation Agreement with hospital Medical Director.
Submit BLS Ambulance Service License Application (OEMS-1) to MA OEMS.
Certify ambulance vehicle as Class I or II with OEMS.