EMS Revenue Specialist

Paramedic Billing Services•Elmhurst, IL

11d•$21 - $26

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 conduct insurance verification as needed and must complete prebilling training to qualify for the role.

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 or Electronic Remittance Advice.
Understanding of the difference between claim rejections and denials, and experience working accounts.
Strong computer literacy; typing at 45 WPM or faster 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.
Ability to learn quickly, manage multiple tasks and deadlines, and handle high call volumes and stress.
Excellent verbal communication and effective communication with clients, insurance companies, patients, staff, and management.
Strong attention to detail and accuracy.
Ability to investigate and resolve software issues, billing errors, and disputes.
Positive, motivated, can-do attitude; sound judgment, including knowing when to escalate accounts; and ability to receive and implement feedback.

Nice To Haves

College education is preferred but not required.
Healthcare knowledge is preferred.
Typing speed of at least 45 WPM is highly desired.

Responsibilities

Place and receive calls about insurance billing questions and other patient service activities.
Process accounts according to the actions required to resolve 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 open communication and one-step resolution practices for clients and patients.
Research patient accounts to verify health insurance coverage and audit accounts to confirm proper billing procedures were followed.
Compute adjustments based on explanation-of-benefits remittances and insurance contracts.
Maintain accurate data entry and attention to detail.
Collect outstanding balances and identify, address, and resolve account discrepancies while following company policies and procedures.
Demonstrate knowledge of and compliance with insurance and local, state, and federal billing requirements.
Complete tasks efficiently both individually and in a group environment.
Handle assigned correspondence and other duties as assigned by management.

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 available