EMS Biller and Coder

Superior Air-Ground Ambulance Service•Elmhurst, IL

9d•Onsite

About The Position

The EMS Biller and Coder joins the Billing Department at the Elmhurst, Illinois office; this is not a remote position. The role reviews Patient Care Reports and related documentation to support accurate EMS billing and coding, including establishing medical necessity, selecting service levels and modifiers, and assigning appropriate condition and ICD codes. The position also verifies insurance coverage, obtains missing policy information, and follows applicable insurance, local, state, and federal billing requirements. Prebilling training is required to qualify for the role, and training is provided to the right individual. The role requires careful data entry, attention to detail, efficient use of software applications, and communication with internal and external parties to obtain or clarify documentation. The EMS Biller and Coder handles assigned correspondence and other duties as assigned by managerial staff. The stated wage 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.
Typing speed of at least 45 words per minute is highly desired.
Experience working in an active office environment.
Ability to work with two monitors and split screens while operating multiple sites simultaneously.
Ability to sit or stand for a minimum of eight hours in an office environment.
Ability to use Word, Excel spreadsheets, email, chat applications, and other software applications.
Ability to read, comprehend, and apply job-related rules, policies, and procedures.
Excellent verbal communication skills.
Ability to multitask and manage periods of high call volume and stress.
Strong attention to detail and accuracy.
Ability to investigate and resolve billing errors and disputes.
Ability to manage multiple tasks and meet deadlines.
Ability to receive and implement feedback.
Positive, can-do attitude, good judgment, and ability to escalate accounts when needed.
Ability to communicate effectively with clients, insurance companies, patients, staff members, and management.
Must complete prebilling training to qualify for the role.

Nice To Haves

College education preferred.
Medical billing or coding certification preferred.
Healthcare and auto knowledge preferred.
Fluency in a second language is a plus; Spanish is preferred.

Responsibilities

Review Patient Care Reports and available documentation to establish medical necessity, select levels 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 education sessions to develop 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.
Comply with insurance, local, state, and federal billing requirements.
Complete tasks efficiently both independently and in a group environment.
Handle assigned correspondence and perform other duties assigned by managerial staff.
Conduct insurance verification as needed.