Ambulance Billing Specialist

Ambulance Billing Specialist Job Title: Ambulance Billing Specialist Location: Skokie, Illinois/Hybrid/Remote Company: LifeLine Ambulance Illinois Company Slogan: Driven By Care About the Role LifeLine Ambulance Illinois is seeking an experienced Ambulance Billing Specialist to join our team in Skokie, Illinois. As a key member of our revenue cycle team, you will play a vital role in ensuring accurate and timely insurance verification, prior authorization, and medical necessity review for our non-emergency medical transports (NEMT) and facility-to-facility transfers. Responsibilities Perform comprehensive insurance verification to confirm active coverage and benefits Initiate and track prior authorization requests through various payer portals Verify patient insurance eligibility and ensure all documentation meets medical necessity and regulatory standards Submit and track authorization requests for NEMT and facility-to-facility transfers via insurance portals, fax, or phone Analyze patient care reports and Physician Certification Statements (PCS) to ensure they meet specific payer criteria for the requested level of transport Manage and maintain accurate digital and physical documentation, including scanning medical records, managing digital attachments, and uploading files into the billing system Requirements 1-2 years of experience in revenue cycle, with previous experience in EMS billing highly preferred Technical knowledge of CPT, ICD-10, and HCPCS coding, along with a deep understanding of government and commercial payer regulations Proficiency in Microsoft Office (Word, Excel) and strong typing skills High school diploma or equivalent required Core Competencies Time Management: capable of handling high-volume requests with tight deadlines Detail Oriented: high level of accuracy in verifying policy numbers and effective dates to prevent downstream denials Communication: proven ability to maintain professional composure and high productivity during extended insurance hold times, utilizing verbal de-escalation and persuasive communication to resolve claim denials efficiently What We Offer A dynamic and supportive work environment with a growing company, competitive hourly rate of $19-$23 , and opportunities for career advancement. #J-18808-Ljbffr