Performs specialized technical and clerical work of an accounting nature, processing bills and payments from EMS services provided in order to achieve accurate, timely and compliant billing.
An employee in this class performs specialized clerical work of an accounting nature processing and ensuring the billing and collection of payments for ambulance services. Work involves assisting with the processing of EMS ambulance calls for the county; reviewing station run logs for level of service and data entry of ambulance calls into the computer; ensuring accuracy of billing entries; billing patients and insurance companies; posting payments received; following up on denied claims; researching correct patient insurance information; overseeing the collection of accounts including garnishments and debt setoff; discussing bills and payments with patients or financial representatives; detailed record-keeping; and responding to questions and providing information on EMS billing procedures. Work requires knowledge of accounting practices and principles, medical coding and billing, and department policies and procedures and is crucial to the revenue flow of the department. Work assignments are performed in accordance with established procedures with unusual situations being referred to the supervisor for guidance. Tact and courtesy are required when working with patients and their families. Starting pay $39,557 or DOQ
Reviews and analyzes EMS run logs and patient care reports for demographic and insurance billing information; determines the level of service provided, correct date of service, condition code, and the correct station providing service to bill for services; reviews files to assure paperwork is complete.
Researches and corrects problems with incomplete documentation on ambulance records; contacts responsible individuals for corrections; compiles and maintains confidential patient care information documented by ambulance personnel.
Collects all information needed to calculate bills; keys in data to billing software; coordinates with billing agent to issue invoices and bills.
Posts payments received via mail, credit card and by phone; balances posted payments and daily transaction reports; updates accounting records with payments, balances and customer information; records amount received.
Responds to inquiries and phone calls regarding all aspects of billing information; explains procedures and break-down of charges to explain procedures; occasionally works with irate callers to explain bills and payment and collections options.
Follows up on denied claims; researches correct insurance, demographic or other information; assists with resolving billing disputes; responds to patients and insurance company inquiries.
Performs functions associated with the later activities of the revenue cycle including addressing claim appeals, inaccurate claim denials, payment errors, determining entity to whom a refund is due in overpayments.
Performs data entry work to maintain insurance billing files, patient care reports, verify receipts, and record documents received by insurance companies and the general public.
Performs collections activities on delinquent accounts; sends accounts for garnishments and debt setoff.
Creates, updates, and maintains manual and computerized files and filing systems; maintains files that contain confidential medical information in a manner that is auditable as required by federal law.
Maintains the strictest confidentiality and adheres to all HIPAA guidelines and regulations.
Researches and tracks current information and changes in Medicare and/or other insurance carriers concerning ambulance insurance billing.
Oversees refund process and ensures compliance with federal, state, and local laws and regulations.
Prepares fiscal and programmatic reports related to specific insurance carriers, reconciliation of accounts, outstanding balances, payment trends, etc.
Schedules non-emergency transports for patients from the hospital.
Answers the phone for the Fire Marshal and EMA departments.
Additional Job Duties
Performs related duties as required.
Considerable knowledge of use of computerized billing programs and databases.
Considerable knowledge of all phases of medical billing to include accounts receivable, knowledge of coding and third party reimbursement.
Working knowledge of medical terminology, procedures and protocols.
Working knowledge of the collection and payment activities of insurance companies, Medicare and Medicaid organizations.
Working knowledge of accounting processes and procedures.
Working knowledge of modern office practices and procedures.
Skill in accurately compiling, reviewing, and analyzing detailed statistics and medical information.
Ability to understand and apply policies and procedures to the maintenance of financial records and reports.
Ability to use calculating and adding machines and automated equipment for the maintenance of accounting and patient records.
Ability to work independently with some direction.
Ability to deal confidentially with sensitive medical and financial personal information of others.
Ability to effectively organize work, determine priorities, and complete assigned duties in a timely manner.
Ability to verify accounting documents and forms for accuracy and completeness.
Ability to communicate effectively in oral and written forms.
Ability to explain technical policies, regulations and billing information to others effectively.
Ability to establish and maintain effective working relationship with coworkers, supervisors, employees, and the general public.
Associate’s Degree in business administration or accounting and some experience in an accounting, ambulance billing, or fiscal office environment; or an equivalent combination of education and experience.
