Verification Specialist - (OKC Hybrid)

Pafford EMS • Oklahoma City, OK

3d • Hybrid

About The Position

The Ambulance Billing Verification Specialist reviews and verifies ambulance transport records before claim submission. The role ensures patient information, insurance coverage, medical-necessity documentation, and billing requirements are accurate and complete. It contributes to the revenue cycle by identifying missing or inaccurate information, resolving documentation discrepancies, and preparing ambulance transports for coding and billing. The ideal candidate is detail-oriented, organized, and knowledgeable about healthcare insurance verification, ambulance billing requirements, and payer regulations. The position is based in Oklahoma City, Oklahoma, with a hybrid work arrangement, or in Hope, Arkansas.

Requirements

• High school diploma or GED.
• Ability to interpret insurance eligibility information and payer requirements.
• Strong attention to detail and problem-solving skills.
• Proficiency with computers, electronic medical records, and billing software.
• Ability to manage a high-volume workload while maintaining accuracy.
• Strong written and verbal communication skills.
• Ability to work independently and collaboratively in a team environment.
• Ability to perform essential job functions and meet productivity standards consistent with applicable laws.
• Ability to maintain regular, punctual attendance.
• May occasionally be required to lift and/or move up to 20 pounds.
• Required vision abilities include close, distance, color, and peripheral vision, depth perception, and the ability to adjust focus.
• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen, and speak clearly on the telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Nice To Haves

• Experience in healthcare billing, insurance verification, patient registration, medical records, or revenue cycle operations.

Responsibilities

• Review ambulance transport records for completeness and accuracy before claim submission.
• Verify patient demographics, including name, date of birth, address, and other identifying information.
• Identify and verify primary, secondary, and tertiary insurance coverage.
• Confirm insurance eligibility and benefits for the date of service.
• Identify Medicare, Medicaid, Medicare Advantage, commercial insurance, workers’ compensation, and other potential payers.
• Determine appropriate coordination of benefits and payer priority.
• Research and resolve insurance discrepancies, inactive coverage, and missing policy information.
• Identify potential third-party liability, motor vehicle accidents, and other special billing circumstances.
• Resolve documentation discrepancies and ensure ambulance transports are prepared for coding and billing.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED