Project Manager

4 weeks ago

Yonkers, New York, United States Empress Ambulance Services Full time

Empress Ambulance Services

Location: Yonkers, NY

Department: Billing
FLSA Status: Non-Exempt

POSITION SUMMARY

Responsible for knowing, understanding, and following insurance billing regulations for non-Emergency and Emergency Ambulance billing. Running and providing Department reports for monitoring purposes.

Completing and maintaining projects assigned for any Department category - Medicare/Medicaid, Facility, Billing, PT Collections.

KEY RESPONSIBILITIES
  • Responsible for ALL aspects of Billing and Collections for 911 and non-Emergency Ambulance Service provider such as: verifying insurance eligibility, obtaining authorizations, billing patients, hospitals, insurance companies, Medicare, Medicaid, No-Fault and Worker's Compensation claims insurance denials, collecting on past due accounts.
  • Liaison between senior management, employees, and clients to ensure proper lines of communication. Crucial step in addressing a myriad of problems and issues requiring immediate attention and resolve.
  • Provide general administrative and clerical support including but not limited to: receiving and sorting daily mail, maintaining medical records, faxing, copying, scanning and stamping outgoing mail.
  • Responsible for training and coaching team members on new and/or existing procedures.
  • Work closely with several outside collection agencies to ensure accurate handling of patient accounts.
  • Responsible for daily, weekly, and monthly reporting of the following reports: department productivity, QA/Ql's, Collection Agency Payments, Stipends, Medicare/Medicaid Daily Billings & payment schedule, Collection Agency assignments, uploads and payment reporting, Waystar rejections. Pt/Ins submission confirmations, VAC's collection follow ups, ALS intercepts, M911 Billing audits, and Volume reports.
  • Attending industry Webinars/ Conferences and preparing summary to ensure we are up to date with industry & billing compliance standards.
  • Responsible for payer enrollment via Waystar.
  • Responsible for identifying insurance payers that submit payments manually and enrolling them in ACH to expedite receipt.
  • Responsible for completing department projects as assigned.
  • Work closely with Department Managers/ Supervisors to create improvement, implement processes to ensure department goals and objectives are met on a consistent basis.


POSITIONQUALIFICATIONS

Education&Experience
  • High School Diploma. Associate degree preferred.
  • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred.
  • Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation.
  • Ambulance/ Medical billing certification or diploma preferred.
  • Maintain working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR's and all forms of medical billing (direct, 3rd party, HMO's, private pay, no-fault, Worker's Compensation, Medicare & Medicaid.
  • Excellent organizational skills and the ability to multi-task in a fast-paced environment.
  • Review and research data. Utilize intuition and experience to compliment data.
  • Thorough knowledge of transport documentation (PCRs).
  • Ability to follow up on outstanding Medicare accounts.
  • Ability to submit appeals and overpayment requests.
  • Familiar with Medicare/CMS requirements and guidelines.
  • Health Insurance Portability and Accountability Act (HIPAA) requirements and record retention compliance.
  • Excellent written and verbal communications skills required
  • Excellent documentation skills (promptness, accuracy, thoroughness, and legibility).
  • Credit and Collections Procedures, Payment Plan/ Settlements/ Collection Agency.
  • MAS Medicaid Billing.
  • PCS/ Medical necessity.
  • Customer Service/ Client relations.
  • Returned Mail/ Skip Tracing.

Competencies:
  • Working knowledge of EMS systems, private ambulance, and medical transportation systems preferred.
  • Knowledge of CONN EX preferred.
  • Knowledge Microsoft Word, Microsoft Excel, and Microsoft Windows.
  • Familiarity with medical terminology
  • Organizational and leadership abilities, detail oriented.

Work Environment:
  • Work is performed under normal working conditions within a standard office environment.

PhysicalRequirements:
  • High level of sitting/working at a desk
  • Light physical effort (lift/carry up to 10 lbs.)
  • Must be able to perform the essential duties of the position with or without reasonable accommodations.


All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.

PI

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