EMS Biller and Coder

Paramedic Billing Services•Elmhurst, IL
•$19 - $23•Onsite

About The Position

The EMS Biller and Coder joins the Billing Department and reviews EMS Patient Care Reports to determine medical necessity, level of service, origin and destination modifiers, and the patient’s condition at the time of transport. The role includes scrubbing sites for active health insurance, adding appropriate patient-care identifiers with coordinating ICD codes, assigning transport condition codes, and ensuring billing complies with insurance, local, state, and federal requirements. Prebilling training is required, and the employer states it will train the right individual. The position is based in an office in Elmhurst, Illinois, and is not remote. The role requires working with multiple sites and applications, careful data entry, and communicating with internal and external departments, insurers, and other parties to obtain or clarify information. The stated pay range is $19.00–$23.00 per hour, with rates based on years of experience.

Requirements

  • Minimum two years of experience in customer care, account management, or a similar role.
  • Computer literacy and ability to use Word, Excel spreadsheets, email, chat applications, and other software applications.
  • Ability to work with two monitors and split screens to operate multiple sites simultaneously.
  • Ability to sit or stand for at least eight hours in an office environment.
  • Ability to read, comprehend, and apply job-related rules, policies, and procedures.
  • Ability to manage multiple tasks and deadlines, including periods of high call volume or stress.
  • Strong attention to detail and accuracy.
  • Effective verbal and written communication with clients, insurance companies, patients, staff, and management.
  • Ability to investigate and resolve billing errors and disputes.
  • Ability to work individually and as part of a group.
  • Ability to learn quickly, stay motivated, receive and implement feedback, and use good judgment, including escalating accounts when needed.
  • Prebilling training must be completed to qualify for the role.

Nice To Haves

  • College education.
  • Medical Billing or Coding certification.
  • Healthcare and auto knowledge.
  • Typing speed of at least 45 words per minute.
  • Fluency in a second language; Spanish is preferred.

Responsibilities

  • Review Patient Care Reports and available documentation to establish medical necessity, select the level of service and origin/destination modifiers, and assess the patient’s condition at the time of transport.
  • Communicate professionally with internal and external departments to obtain missing documentation or clarify existing documentation.
  • Assign condition codes for transport reasons with a minimum of 95% accuracy.
  • Meet established minimum coding productivity standards, particularly during training.
  • Review reports and bill appropriately in accordance with policies and procedures.
  • Use software applications to complete pending assignments and prioritize urgent requests.
  • Attend department meetings and educational sessions to improve knowledge of billing and coding guidelines.
  • Call insurance payers to obtain patient policy numbers when they are unavailable through insurance sites or other documentation.
  • Maintain accurate data entry and attention to detail while using short keys to improve speed.
  • Follow insurance, local, state, and federal billing requirements.
  • Complete tasks efficiently both individually and in a group environment.
  • Handle assigned correspondence and perform other duties assigned by managerial staff.
  • Conduct insurance verification as needed.
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