EMS Biller and Coder

Superior Air-Ground Ambulance•Addison Township, IL

1d•Onsite

About The Position

The EMS Biller and Coder joins the Billing Department and reviews patient records to support accurate EMS billing and coding. The role involves checking for active health insurance, applying appropriate identifiers from Patient Care Reports with coordinating ICD codes, and complying with insurance, local, state, and federal billing requirements. Insurance verification may be required, and prebilling training must be completed to qualify for the role. The employer states that it will train the right individual. This is an office-based position in Elmhurst, Illinois, and is not remote. The role requires using multiple software applications and sites, handling calls and correspondence, and working with internal and external departments. The position requires sitting or standing for at least eight hours in an office environment. The stated pay range is $19.00–$23.00 per hour, with rates offered based on years of experience.

Requirements

Minimum two years of experience in customer care, account management, or a similar role.
Computer literacy.
Ability to use 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 use Word, Excel spreadsheets, email, chat applications, and other software applications.
Ability to read, comprehend, and apply job-related rules, policies, and procedures.
Ability to learn quickly and work with motivation.
Excellent verbal communication skills.
Ability to multitask and manage periods of high call volume and stress.
Positive, can-do attitude and good judgment, including the ability to escalate accounts when needed.
Ability to receive and implement feedback.
Well-versed in medical billing practices, including an understanding of insurance billing codes, regulations, and procedures.
Ability to investigate and resolve billing errors and disputes.
Effective communication with clients, insurance companies, patients, staff members, and management.
Ability to manage multiple tasks and meet deadlines.
Strong attention to detail and accuracy.

Nice To Haves

College education preferred but not required.
Medical Billing or Coding certification preferred but not required.
Healthcare and auto knowledge preferred.
Fluency in a second language is a plus; Spanish is preferred.
Typing speed of at least 45 WPM is highly desired.
Experience working in an active office environment.

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 and tactfully with internal and external departments to obtain missing documentation or clarify existing documentation.
Assign condition codes for transport reasons with at least 95% accuracy.
Meet established minimum coding productivity standards, especially 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 unavailable through insurance sites or other documentation.
Maintain accurate data entry and attention to detail while developing speed with short keys.
Demonstrate knowledge of and 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 as assigned by managerial staff.
Conduct insurance verification as needed and complete prebilling training.