EMS Revenue Specialist

Superior Air-Ground Ambulance•Addison Township, IL

10d

About The Position

The EMS Revenue Specialist works directly with health insurance companies to resolve open balances. Duties may include using payer portals to check claim status, updating patients’ insurance policies, reviewing or updating ICD-10 codes, and sending corrected claims or appeals. Representatives also conduct insurance verification as needed and must complete prebilling training to qualify for the role. The role involves processing patient accounts, resolving denials and billing discrepancies, communicating with patients and insurance carriers, and ensuring accurate, policy-compliant billing. It requires attention to detail, effective communication, the ability to manage multiple tasks and deadlines, and comfort working in an active office environment with multiple monitors and software applications.

Requirements

At least two years of experience in customer care, account management, or a similar role.
Ability to read and understand an Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA).
Understanding of the difference between rejections and denials and experience working accounts.
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 a minimum of eight hours in an office environment.
Ability to read, comprehend, and apply job-related rules, policies, and procedures.
Ability to multitask and manage periods of high call volume and stress.
Excellent verbal communication skills, good judgment, and a positive, can-do attitude.
Ability to learn quickly, receive and implement feedback, and escalate accounts when needed.
Well-versed in medical billing practices, including insurance billing codes, regulations, and procedures.
Ability to investigate and resolve software issues, 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.
Healthcare knowledge.
Typing speed of at least 45 WPM.

Responsibilities

Place and receive calls regarding insurance billing questions and other patient service activities.
Process accounts according to the actions required to resolve account balances.
Resolve insurance carrier denials, appeal claims, contact carriers about open accounts, and respond to carrier correspondence and inquiries.
Communicate with callers, including customers, agencies, facilities, and hospitals.
Use one-step resolution practices for clients and patients through open lines of communication.
Research patient accounts to verify health insurance coverage and audit accounts to confirm the proper billing process was followed.
Compute adjustments based on EOB remittances and insurance contracts.
Ensure accurate data entry and consistent attention to detail.
Collect outstanding balances and identify, address, and resolve account discrepancies in accordance with company policies and procedures.
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.

Benefits

Opportunities for career advancement
Competitive wages
On-demand pay before payday
401(k) with company contribution
Medical, dental, vision, and life insurance
Voluntary short-term disability, critical illness, accidental, and legal insurance
Company-paid life insurance and long-term disability
Paid vacation and sick time
Holiday pay
Referral bonus