Billing Specialist
 New York, NY

Ambulnz is a fast-growing national ambulance company on a mission to transform the medical transportation industry with technology. We are bringing innovation to a stagnant industry and are looking for a Billing Specialist to join us on our mission to improve patient care.

This position is responsible for the accurate and timely billing of ambulance transports while maintaining quality and productivity standards. This position is expected to determine diagnosis and levels of service, based on information provided on the Patient Care Report (PCR) and to accurately bill using the appropriate codes.

As the Billing Specialist you will:

  • Reviews as a second verification basic information for the patient, including name, address, date of birth, social security number, insurance information, ranking of insurance related to call. Update as necessary
  • Verifies receipt of and update PCS information (if non-emergency and/or schedule trips) or payor's preauthorization of services for the trip
  • Verifies and updates service details, including pick-up and drop-off addresses, date and time, call type, response priority and transport priority
  • Verifies the medical details and determine the appropriate service code, ICD-10 or condition codes for the patient's complaint(s)
  • Verifies and updates the correct amount to charge for the services rendered, and the procedures administered
  • Determines the correct procedure codes and modifiers you must use for the charges, as required by the payor being billed
  • Reports any additional information needed
  • Generates a claim for the trip on paper or in the correct electronic submission format-that includes all the necessary details, modifiers, indicators, condition codes, and documentation, and send to the primary payor(s)
  • Assure HIPAA compliance with regards to billing practices
  • Keeps track of all trips and claims
  • Ensures ePCR's received is equal to the total trips for that day
  • Maintains knowledge of all coding regulations, particularly as it relates to assigned state or payer.
  • Maintains files for all trips and medical documentation
  • Continuously cross-trains in other function area
  • Other duties as assigned

You are the ideal candidate if you have:

  • Minimum of 1-year medical billing experience with a high-volume practice or clinic, ambulance experience preferred
  • Ambulance/Medical billing certification or diploma preferred
  • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC)
  • Excellent organizational skills and the ability to multi-task in a fast-paced environment
  • Analytical - collects and researches data; uses intuition and experience to complement data

About You:

  • Thorough knowledge of ambulance transport documentation
  • Extensive knowledge of ICD-10 and Condition Codes
  • Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals
  • Understands Medicare and Medicaid regulations and guidelines
  • Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred
  • Familiarity with medical terminology
  • Ability to interpret EOB (Explanation of Benefits)
  • Familiarity with Microsoft Office Suite
  • Working knowledge of Zoll Data Systems

About the Team

  • We hold ourselves to high standards for the candidate experience
  • We are dedicated to providing fast, thoughtful, and high-touch interactions with every candidate, during every stage of the process
  • We value a friendly, considerate, and value-driven communication style
  • We strive for incredible attention to detail, empathy, and fast turnaround times
  • We celebrate wins and learn from losses
  • We love what we do and have a ton of fun doing it

EEO/AAP Statement

Ambulnz is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.