Medical/Ambulance Billing Specialist- Ar

Company Overview

Our Mission at 1st Pass Healthcare Solutions is to provide a total revenue cycle management solution to Ambulance and ER physicians around the country. At 1st Pass Healthcare Solutions we are committed to providing the highest quality service, detail oriented and customized solutions for our clients. We work diligently to assure claims are accurate, thorough and compliant on 1st submission reducing unnecessary denials and appeals, utilizing evidence-based processes in a family oriented, professional organization. We are owned and operated by career clinicians with a long standing history of business success and a passion for quality across the continuum.

1st Pass is seeking to hire an In-Office, Full-Time Medical Billing AR Specialistto join our team in Forney, TX.

Job Summary

The AR Specialist works under the direct supervision of the Billing Manager in cooperation with other staff providing pre-billing and coding services in compliance with 1st Pass’ established proprietary standards and processes.

Responsible for billing functions including insurance verification, patient eligibility and coding but with a willingness to learn all aspects of the revenue cycle management function allowing for growth opportunity.

Preparing and transmitting claims using billing software, perform monthly charge reconciliation, performs manual charge entry for all non-automated claim sites of services and all other duties as assigned by their direct supervisor and/or the CEO.

Essential Duties and Responsibilities

• Analyzes patient care reports, scrubs data through insurance verification websites and applies appropriate HCPC code to each claim assuring the most accurate payer. This includes HCPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution.
• Requires strong knowledge of each client, commercial payor regulations and guidelines, internal revenue cycle coding processes and ambulance specific service line billing practices.
• Requires the ability to read the electronic patient care report and apply appropriate level of service, HCPC code(s), diagnosis code(s) and modifiers (if applicable).
• Serves as a resource to the Billing Team, Outsourced Vendors, Clients, and the CEO
• Perform monthly charge reconciliation.
• Answering all patient or insurance telephone inquiries.
• Periodically communicate patient balance and patient-responsibility amounts to clients and/or patient/families, responding to requests for information.

Qualifications

• High School Diploma or General Education (GED)
• Certified Ambulance Coder Certification, Certified Coder, and/or ambulance billing experience preferred.
• 1-2 year recent medical billing experience

Knowledge, Skills, and Abilities

• Knowledge of all commercial payor databases
• Great computer skills with a willingness to learn our billing platform and electronic patient care reporting system
• Strong verbal/written communication and listening skills; including excellent impersonal skills and telephone communication
• Excellent organization and time management skills
• Ability to identify and resolve problems
• Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain in standard workflow
• Ability to establish and maintain effective working relationships with patients, clinical staff, and coworkers
• Ability to maintain confidentiality of sensitive and protected patient information
• Ability to work effectively as a team player and provide superior customer service to all staff and leadership while growing at a fast pace including the addition of new service lines over the next 12 months.'

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: In person