EMS Claims Resolutions Specialist
Houston, TX 77001
Duties as follows:
Provides excellent customer service to a wide variety of internal and external customers.
Verify completion of patient care reports to include patient demographics, personal insurance information and completion of all required signatures.
Verify accuracy and maintain all PCS forms for non-emergency transports.
Identify and separate ambulance runs based on the type of billing necessary to expedite payment.
Transmission of all insurance claims.
Follow-up on outstanding AR as required for each payer type; minimum of 20 days.
Initiate collections follow-up on all unpaid or denied claims.
Appeal, resolve, and research unpaid insurance claims while identifying trends or recurring denials and make necessary changes to resolve outstanding issues.
Resolve billing errors by working rejection reports.
Handle customer service issues in a timely manner - directing all escalated patient complaints to EMS supervisor.
Medical Billing organization located in West Houston
Recognition, cultivation and rewards for your talent
Opportunities for challenges, learning and advancement with a company aligned with a long term aggressive growth strategy
Restaurants and shopping nearby
Monday thru Friday 8am to 4: 30 PM
High School Diploma/G.E.D.
3-5+ years of EMS collections experience.
Working knowledge of EMS billing and Medicare LCD's.
Knowledge of basic medical terminology.
Ability to interpret EOB's.
Proven experience administering appeals in a high-volume claims environment.
Ability to maneuver through Windows PC applications, Email, Microsoft Office, as well as learn new computer system applications.
Adherence to all EMS compliance guidelines as outlined by CMS.
Prior EMS experience coding for all government and non-government payers - Certified Ambulance Coder is a plus.
Ability to understand and interpret EMT narratives.
Knowledge of ESO billing software.
Willing to train the proper candidate.