Billing Specialist Jobs

Pafford EMS

Location:
United States

Category:
Finance

Contract Type:
Not provided

Salary:

Not provided

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Job Responsibility:

Obtain referrals and pre/post-authorizations for ambulance services
Check eligibility and benefits verification
Review insurance and facility claims for accuracy and completeness
Prepare, review, and transmit claims using billing software, clearinghouse, and payer websites
Following up on unpaid claims within standard billing cycle timeframe
Reviewing underpaid claims for appropriate escalation steps to ensure appropriate reimbursement for services
Calling insurance companies regarding any payment discrepancies
Identifying and billing secondary or tertiary insurance
Processing incoming mail and taking appropriate follow up actions to resolve accounts
Researching and appealing denied claims
Answering all patient or insurance telephone inquiries
Contacting the patient to escalate issues with the insurance companies
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Performing other duties as assigned

Requirements:

Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and commercial payers
Customer service skills for interacting with patients regarding medical claims and payments
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Ability to work independently and with a group
Working knowledge of MS Word, Excel
Ability to maintain effective working relationships
Thorough knowledge of office practices
Ability to type at least 35 words per minute
Proficiency using 10 key
High School Diploma or GED
Minimum of one year revenue cycle management experience or related experience
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion
Must be able to talk, listen and speak clearly on telephone
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle

Additional Information:

Job Posted:
December 11, 2025

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Billing Specialist

Pafford EMS

Location:United States

Category:Finance

Contract Type:Not provided

Salary:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:December 11, 2025

Location:
United States

Category:
Finance

Contract Type:
Not provided

Job Posted:
December 11, 2025