Ambulance Medical Billing and Coding Associate

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Collaborates with Operations to address issues related to unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), insurance, and demographic capture challenges.

• Accountable for escalating concerns regarding ambiguous documentation to the relevant management.

• Capable of analyzing, identifying, and resolving issues that could lead to delays in payer payments.

• Recognizes and rectifies claim edits by comprehending billing guidelines and payer specifications.

• Reconciles both commercial and government accounts, ensuring the accuracy of CPT and diagnostic coding.

• Balances accounts and confirms that payments are applied correctly.

• Manages aged accounts, swiftly resolving and resubmitting denied unpaid claims in a timely and efficient manner.

• Reviews and corrects billing inaccuracies, necessitating a strong understanding of CPT and ICD-10 coding.

• Evaluates and audits customer service account inquiries.

• Delivers exceptional customer service to all patients, Insurances & Facilities.

• Performs all other related tasks as assigned.

⛳️ Requirements

• A minimum of 2-3 years of experience in medical billing (required).

• Experience in ambulance billing (strongly preferred).

• In-depth knowledge of Medicare and Medicaid, along with an understanding of medical necessity in ambulance transportation.

• Proficient in CPT and ICD-10 coding.

• Ambulance/Medical billing certification or diploma preferred.

• Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred.

• Excellent organizational abilities and capability to multitask in a fast-paced setting.

🏝️ Benefits

• Medical, Dental, and Vision coverage (with company contribution).

• Paid Time Off.

• Weekly pay.

• PTO & 401k.