EMS Billing AR Specialist

This is a hybrid position with two days a week on average in the office on Powers Ferry.

Purpose of Position: The purpose of the AR Specialist role is to oversee the accounts receivable process for our billing clients. This involves monitoring and addressing claim denials, unpaid claims, and partially paid claims in a timely manner. You are expected to take charge of initiating and following up on appeals, for Medicare, Medicaid, and commercial insurance payers. You will also ensure the accuracy of accounts that are transitioned to collections, self-pay, and patient responsibility, while delivering outstanding customer service. The position requires excellent organizational, communication, and time management skills. Having experience in ambulance billing is a plus. You will be required to become a Certified Ambulance Coder.

Job Responsibilities:

1. Deliver exceptional customer service by efficiently resolving issues, responding promptly to inquiries, and providing problem-solving support.

2. Conduct comprehensive reviews of accounts to determine the specific requirements set by different payers for coverage.

3. Prepare and submit appeals and reconsideration requests for denied claims, ensuring all necessary steps are taken.

4. Negotiate for settlements and payment plans, with patients and insurance providers, to settle outstanding balances.

5. Escalate issues as needed to secure payments.

6. Evaluate accounts to prioritize for follow-up actions.

7. Ensure timely follow-up on aged, unpaid, or underpaid insurance claims to secure maximum payment and minimize necessary adjustments.

8. Promptly and accurately resubmit claims that have been denied.

9. Respond to requests for medical records, patient information, insurance details, and attorney-related information.

10. Interact with insurance companies and facilities to address inaccurately processed claims and other claims-related concerns.

11. Confirm accurate re-billing and timely resolution of denial-related issues.

12. Offer Assist the coders/billers, and other team members involved in patient documentation and claims processing/tracking.

13. Ensure proper documentation by accurately noting reviewed accounts and attaching essential documents in the system.

14. Undertake any other duties assigned that are related to billing and collections.

Qualifications:

1. Have a good understanding of compliance and payer policies, including those for Medicare, Medicaid, and Commercial Insurance.

2. Minimum of 2 years of experience in healthcare billing and collections, with a preference for experience in ambulance billing.

3. Excellent written, verbal, and interpersonal skills to collaborate successfully with colleagues, clients, insurance providers, and medical facilities.

4. Be service-oriented to ensure positive interactions with clients and colleagues.

Overall, the AR Specialist plays a vital role in managing the financial aspects of healthcare operations, ensuring accurate billing, maximizing revenue, and maintaining positive relationships with patients and insurance providers.

MD1, Inc. has over nine years of experience billing for EMS and medical services and has become one of the leaders in using technology to provide our clients with real time data to improve their services to communities.

We offer excellent benefits for full time employees, a flexible schedule, continuing education and training, and our people have been with us for years.