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Ambulance Billing Accounts Receivable Specialist
2 months ago
Clay County - Small Towns. Big Passions.
Pay:
$21.22 - $26.53
Under general direction of the Director of Budget and Administrative Services, Office of Management and Budget Director and Ambulance Billing Manager, this position is responsible for the accurate and efficient posting of payments, adjustments, and denials to patient accounts within the emergency medical services billing system. This role plays a critical part in the revenue cycle management, ensuring that all payments are accounted for correctly and reconciled with the billing records. The Specialist will work closely with the billing team to resolve discrepancies, process refunds when necessary, and maintain detailed records in compliance with applicable laws and regulations, including HIPAA. This position will also be responsible for reporting as requested by management.
Essential Duties and Responsibilities:
- Accurately post and reconcile payments, adjustments, and denials to patient accounts, ensuring adherence to financial policies.- Work closely with the billing team to resolve discrepancies, process refunds, and maintain comprehensive records.- Ensure all financial activities comply with generally accepted accounting principles (GAAP).- Conduct detailed analysis of accounting records, financial statements, and reports to ensure accuracy and compliance.- Identify and correct deficiencies in accounting processes, implementing actions to achieve compliance and reduce risks.- Collect and report monthly expense variances and explanations.- Work with external vendor to prepare PEMT and GADCS expense reports.- Utilize ICD-10, CPT, and HCPCS codes for accurate billing of ambulance services.-
- Collaborate with billing specialists to resolve payment discrepancies, submit adjustments, and correct coding issues to ensure accurate billing and payment posting.- Maintain up-to-date knowledge of billing regulations, payer policies, and compliance requirements affecting payment posting.- Develop and implement payment posting policies to enhance operational efficiency.- Manage general ledger, prepare journal entries, and perform accounting on an accrual basis.- Analyze financial data, prepare reports, and support audit findings.- Conduct variance analysis and optimize revenue flow strategies.- Proficient in conducting internal audits, data analysis, and financial reporting.-
- Performs other duties as assigned.- Ensure confidentiality and security of patient information in compliance with HIPAA and other regulatory requirements.
Minimum Requirements:
- Minimum of 3 years of experience in medical billing and payment posting, with a preference for experience in EMS billing, preferred.- Certification as a Certified Ambulance Finance Officer (CPC, CCS, CAC or equivalent) strongly preferred.- Valid Florida driver’s license with clean driving record.- 4-year degree preferred.- Any combination of education and experience may be substituted, so long as it provides the desired skills, knowledge and abilities to perform the essential functions of the job.
Supplemental Information:
Adherence to work schedule and regular attendance are essential functions of this position.
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative, of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge of HIPAA regulations and processes
Proficiency in medical billing software, Microsoft Office Suite and electronic health records
Excellent communication skills, both written and verbal
Ability to handle sensitive information discreetly
Understanding of healthcare billing, including ICD-10, CPT, and HCPCS codes, as well as payer policies and compliance requirements.
Proficient in Cash Flow analysis, Revenue Cycle Reconciliation, and Account Reconciliation.
Knowledgeable in Accounting and General Ledger Management.
Employees may be required to perform duties, including the employee’s normal work function or other emergency support functions as deemed necessary by the County, as assigned before, during, and after hazardous weather or state of local emergency.
While requirements may be representative of minimum levels of knowledge, skills and abilities to perform this job successfully, the incumbent will possess the abilities or aptitudes to perform each duty proficiently.
This job description in no way implies that these are the only duties to be performed. Employees occupying the position will be required to follow any other job-related instructions and to perform any other job-related duties as requested by their supervisor.
Sedentary work. Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull otherwise move objects, including the human body.
The noise level in the work environment
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