Ambulance Billing Expert 1 or 2

2 weeks ago

Clearwater, United States Pinellas County FL Full time

Join a dynamic and high-energy team, leveraging your expertise in medical billing. Pinellas County Ambulance Billing stands as one of the largest ambulance service providers in the nation, dedicated to achieving national recognition as the premier authority in ambulance billing.

This role is situated within the Program Services sector of the Financial Services Division, part of the Safety and Emergency Services Department of Pinellas County. The position involves intricate technical and financial responsibilities focused on compliance, oversight, analysis, and processing tasks associated with the ambulance billing revenue cycle. Key competencies and responsibilities include:

  • Managing the Emergency Medical Services (EMS) medical billing system, ensuring that funds owed to the County are collected from both public and private insurance providers, including The Center for Medicare and Medicaid Services (CMS);
  • Collaborating with the County Attorney's Office to facilitate the collection of outstanding funds and resolve matters related to estates, probates, and claims;
  • Demonstrating comprehensive knowledge and independent application of State and Federal healthcare regulations;
  • Understanding standard medical terminology and exercising a high degree of independent judgment in applying concepts such as medical necessity;
  • Applying knowledge of billing intricacies related to various insurance carriers, hospitals, hospices, the Veterans Administration, and skilled nursing facilities;
  • Conducting account analysis to determine appropriate actions for account resolution;
  • Interpreting and applying complex regulations and departmental billing policies, as well as managing secondary billing functions, including denials and appeals;

This position represents the journey level within the classification series. Individuals may provide guidance and instruction to junior medical billing staff and may serve as a group lead for support personnel. The role reports to a supervisor or manager and differs from the Medical Billing Specialist 1 by requiring a greater level of independent judgment and decision-making. The assignments are characterized by a higher complexity level.

Work for this position is conducted onsite, Monday through Friday.

Key Responsibilities:

  • Research, verify, update, and ensure the accuracy of information within the medical billing system.
  • Investigate and resolve claim discrepancies, such as verification failures and claim rejections.
  • Manage electronic claims submissions and retrieve files through designated platforms.
  • Oversee the submission and reconciliation of claims sent to Collection Agencies, including generating Collections reports.
  • Conduct routine Quality Assurance assessments related to claim submissions and special projects to address identified issues.
  • Perform Quality Assurance reviews on pre-and post-billed ambulance services, identifying billing patterns or trends.
  • Convert incoming correspondence into PDF files following established scanning protocols.
  • Coordinate the mailing of paper claims and necessary documentation as required.
  • Process return mail according to guidelines.
  • Accurately sort and distribute incoming mail to the appropriate recipients.
  • Manage additional information correspondence by submitting requested documentation from insurance providers.
  • Review workflows to determine necessary actions for additional information requests.
  • Document and process all incoming correspondence, excluding Medicare appeals and jail denials.
  • Assist with Document Management tasks, including sorting and archiving.
  • Resolve assigned tickets through the Ticketing System while adhering to service level agreements.
  • Update payer information as necessary.
  • Determine the appropriate payer based on transport circumstances and applicable regulations.
  • Apply medical billing knowledge to verify insurance procedures.
  • Interpret medical information from ambulance Patient Care Reports and other records to assess medical necessity and service levels.
  • Audit accounts to validate past actions and determine subsequent steps.
  • Address EOB issues with insurance carriers.
  • Perform various tasks in an automated office environment.
  • Prepare status reports and undertake special projects as needed.
  • Execute other related duties as assigned.

Qualifications:

  • Proficiency in Microsoft Windows, Word, Excel, and Adobe Acrobat.
  • Experience with various automated software applications.
  • Must not be listed on the Health & Human Services exclusion list.
  • Other relevant knowledge, skills, abilities, and credentials as required for the position.
  • Ability to handle a variety of customer service and administrative tasks, including emergency and disaster response duties.

Medical Billing Specialist 1:

  • Minimum of three years of experience in medical billing, claim analysis, denial review, or secondary billing workflows; or
  • An equivalent combination of education, training, and/or experience.

Medical Billing Specialist 2:

  • Minimum of five years of experience in medical billing, claim analysis, denial review, or secondary billing workflows; or
  • An equivalent combination of education, training, and/or experience.

Benefits:

  • Our benefits are among the best in the region. Explore the offerings.
  • Looking for a robust retirement plan? We provide options through the Florida Retirement System (FRS), including investment and pension plans.
  • Additional perks include deferred compensation programs and wellness centers.

For More Information:

Please review the complete classification description, including Physical/Mental Demands, Working Conditions, and Knowledge, Skills, and Abilities.

  • Medical Billing Specialist 1 or 2

    2 months ago

    Clearwater, United States Pinellas County FL Full time

    Come work in a fast-paced high-energy office, utilizing your medical billing expertise. Pinellas County Ambulance Billing is one of the largest ambulance providers in the country and is the exclusive ambulance provider for Pinellas County. Our vision is to be nationally recognized as the industry leader in ambulance billing. This position is within the...

  • Healthcare Billing Analyst 1 or 2

    2 weeks ago

    Clearwater, United States Pinellas County FL Full time

    Join a dynamic and energetic team where your expertise in medical billing will shine. Pinellas County Ambulance Billing stands as one of the premier ambulance service providers nationwide, dedicated to excellence in ambulance billing practices. This role is situated within the Program Services division of the Financial Services Department, a key...

  • Medical Claims Processing Specialist 1 or 2

    7 days ago

    Clearwater, United States Pinellas County FL Full time

    Join a dynamic and high-energy team, leveraging your expertise in medical billing. Pinellas County Ambulance Billing stands as one of the largest ambulance service providers nationwide, dedicated to excellence in ambulance billing. This role is situated within the Program Services section of the Financial Services Division, part of the Safety and...

  • Medical Billing Specialist

    2 months ago

    Clearwater, United States Pinellas County FL Full time

    Pinellas County Ambulance Billing is one of the largest ambulance providers in the country and is the exclusive ambulance provider for Pinellas County. Our vision is to be nationally recognized as the industry leader in ambulance billing. If you thrive in a fast-paced, challenging environment in a dynamic industry, this is the opportunity you have been...

  • Healthcare Billing Coordinator

    7 days ago

    Clearwater, United States Pinellas County FL Full time

    About Us: Pinellas County Ambulance Billing stands as a leading provider in the ambulance service sector, dedicated to excellence in billing practices. Our mission is to achieve national recognition as the foremost authority in ambulance billing. Position Overview: We are seeking a detail-oriented individual capable of executing intricate clerical and...

  • Healthcare Billing Coordinator

    7 days ago

    Clearwater, United States Pinellas County FL Full time

    About Us: Pinellas County Ambulance Billing stands as a prominent provider in the ambulance sector across the nation, dedicated to delivering exceptional service as the exclusive ambulance provider for Pinellas County. Our goal is to achieve national recognition as the leading authority in ambulance billing. Role Overview: We are seeking a detail-oriented...

  • Healthcare Billing Coordinator

    2 weeks ago

    Clearwater, United States Pinellas County FL Full time

    About UsPinellas County Ambulance Billing stands as a prominent provider in the ambulance sector, recognized for our commitment to excellence in billing practices. Our goal is to achieve national recognition as the leading entity in ambulance billing services. If you excel in a fast-paced and dynamic environment, this role offers an opportunity to contribute...

  • Medical Billing Specialist

    4 days ago

    Clearwater, United States Pinellas County FL Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Pinellas County FL. As a key member of our Financial Services Division, you will play a critical role in ensuring the accuracy and efficiency of our ambulance billing revenue cycle.Key ResponsibilitiesExecute the Emergency Medical Services (EMS) medical billing system...

  • Accounts Payable Specialist

    2 weeks ago

    Clearwater, United States Source 1 Solutions Full time $58,500 - $65,000

    Job DescriptionJob Description*Position Description/Learning Objectives :Key Responsibilities:·      Vendor Management·      Ensure all vendor information is accurate and up to date·      Ensure all subcontractor compliance information is up to date·      Process bills and expenses·      Confirm expenses are in correct...

  • Accounts Payable Specialist

    2 months ago

    Clearwater, United States Source 1 Solutions Full time

    Job DescriptionJob Description*Position Description/Learning Objectives :Key Responsibilities:·      Vendor Management·      Ensure all vendor information is accurate and up to date·      Ensure all subcontractor compliance information is up to date·      Process bills and expenses·      Confirm expenses are in correct...

  • Healthcare Billing and Credentialing Coordinator

    2 weeks ago

    Clearwater, United States Clinical Professional Connections Full time

    Position Overview:We are looking for a dedicated full-time Accounts Receivable and Medical Billing Coordinator to join our team at Clinical Professional Connections.Accounts Receivable Responsibilities:- Collect and verify billing documents to ensure all necessary information is present before processing payments.- Maintain accurate accounts receivable...

  • Healthcare Billing and Credentialing Coordinator

    2 weeks ago

    Clearwater, United States Clinical Professional Connections Full time

    Position Overview:We are looking for a dedicated full-time Accounts Receivable and Medical Billing Coordinator to join our team at Clinical Professional Connections.Key Responsibilities:- Gather and validate invoices to ensure all necessary documentation is in place before processing payments.- Maintain and manage accounts receivable records, ensuring that...

  • Service Expert

    4 days ago

    Clearwater, United States Lodging Dynamics Full time

    We are seeking a skilled Mixologist to join our team at Lodging Dynamics. As a Bartender, you will be responsible for providing exceptional service to our guests.Job Overview: Greet and serve guests according to our high standards.Essential Job Functions:1. Take and serve guest orders promptly and according to our service manual.2. Perform all necessary...

  • Financial Billing Advisor

    2 weeks ago

    Clearwater, FL, United States Fisher Investments Full time

    Position Overview:As a Financial Billing Advisor, you will serve as a key representative of Fisher Investments, working closely with a designated group of affluent clients. Our firm has been dedicated to enhancing the investment landscape since its inception in 1995.Role Responsibilities:- Utilize your financial expertise to contribute positively to our...

  • Technician - Test - Level 2 G02400

    4 days ago

    Clearwater, United States Manpower Engineering Full time

    Our client is seeking a DOD Test Technician to join their team. The ideal candidate will have Active Secret Clearance and 2+ years Electronics experience which will align successfully in the organization.   Job Title: DOD Test Technician 2 (1st Shift Monday-Friday 6:00am-2:30pm) Location: Clearwater, FL Pay Range: $23.50 Hourly   What’s the...

  • Technician - Test - Level 2 G02400

    4 days ago

    Clearwater, United States Manpower Engineering Full time

    Our client is seeking a DOD Test Technician to join their team. The ideal candidate will have Active Secret Clearance and 2+ years Electronics experience which will align successfully in the organization.   Job Title: DOD Test Technician 2 (2nd Shift Monday-Friday 2:00pm-10:30pm) Location: Clearwater, FL Pay Range: $23.50 Hourly   What’s the...

  • Records Specialist 1

    2 months ago

    Clearwater, United States Pinellas County FL Full time

    Records Specialist 1 Location: East Avenue South, Clearwater, FL Schedule: Monday - Friday, 8am - 5pm Are you an expert scanner and can find a needle in a haystack? The Clerk of the Circuit Court is looking for new members to join our team who take pride in keeping the county's records organized. This is specialized clerical work which requires...

  • Engineer 2

    3 months ago

    Clearwater, United States Pinellas County FL Full time

    Engineer 2 Classification Title: Engineer 2 Location: nd Avenue North, Largo, FL Schedule: Some Remote Work Days Are you a Professional Engineer with expertise in utility designs, GIS systems, and water and sewer engineering?Look no further, Pinellas County has the ideal job!! The County is seeking a responsible and collaborative...

  • Selling Branch Manager

    1 day ago

    Clearwater, Florida, United States FrankCrum Staffing Full time

    Job DescriptionFrankCrum Staffing is a leading provider of contract, temporary to permanent, and direct hire staffing solutions. We are seeking a highly skilled and experienced Selling Branch Manager to join our team.The ideal candidate will have a proven track record of success in business-to-business sales and recruiting, with a strong understanding of the...

  • Medical Payment Poster-HYBRID

    3 weeks ago

    Clearwater, United States Jobot Full time

    Medical Payment Poster | $$$$ | Hybrid Schedule | Medical BillingThis Jobot Job is hosted by: Kaylee PauleyAre you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $25 - $28 per hourA bit about us:We are seeking a highly dedicated, detail-oriented, and experienced Permanent Medical Payment Poster-HYBRID to join our...