Ambulance Billing & Revenue Cycle Specialist

Job Description

Job Description

Benefits:

• 401(k)
• Bonus based on performance
• Company parties
• Free uniforms
• Opportunity for advancement

Epoch Health Care LLC
Compassionate Care. Every Mile. Every Patient.

ABOUT EPOCH HEALTH CARE LLC
Epoch Health Care LLC is a growing medical transportation and emergency medical services company
headquartered in Norwood, Massachusetts. We serve patients throughout the Greater Boston area
under contracts with the City of Boston, MassHealth, Medicare, and Boston Public Schools. We are
currently expanding our BLS ambulance operations and building a team of dedicated EMS
professionals committed to delivering compassionate, high-quality patient care.

POSITION SUMMARY
Epoch Health Care LLC is seeking an experienced Ambulance Billing & Revenue Cycle Specialist to
manage the full billing cycle for our BLS and non-emergency medical transport services. You will
handle claims submission, payment posting, denials management, and collections for Medicare.
MassHealth (Medicaid) and commercial insurers. This is a critical role that directly supports Epoch's
financial health and regulatory compliance as we expand our ambulance operations throughout the
Greater Boston area.

KEY DUTIES & RESPONSIBILITIES
Process and submit clean ambulance claims to Medicare, MassHealth, and commercial insurers
electronically and by paper
Enter BLS/ALS level-of-service codes, mileage, diagnosis codes (ICD-10), and procedure codes
(HCPCS A-codes) accurately
Review and interpret patient care reports (PCRs) to verify documentation supports the level of
service billed
Post payments, adjustments, contractual allowances, and denials to patient accounts
Manage denials and rejections perform claim corrections, appeals, and payer follow-up
Verify patient insurance eligibility and obtain prior authorizations when required
Submit PT-1 forms and transportation authorization requests for MassHealth members
Monitor accounts receivable aging reports and follow up on outstanding claims
Epoch Health Care LLC
Compassionate Care. Every Mile. Every Patient.
1 Central St, Suite #13, Norwood, MA 02062 | View phone number on ziprecruiter.com |
Epoch Health Care LLC | View email address on ziprecruiter.com | View phone number on ziprecruiter.com | EOE
Set up patient payment plans and respond to billing inquiries from patients and payers
Ensure all billing practices comply with Medicare, MassHealth, HIPAA, and OIG guidelines
Generate billing reports and provide revenue cycle metrics to management
Coordinate with EMTs, Paramedics, and operations staff to resolve documentation issues
REQUIRED QUALIFICATIONS
Minimum 2 years of experience in medical billing, with at least 1 year in ambulance or EMS billing
Working knowledge of Medicare ambulance fee schedule (42 CFR Part 414, Subpart H) and
MassHealth transportation billing regulations
Proficiency in ICD-10-CM diagnosis coding and HCPCS Level II ambulance procedure codes
(A0425A0999)
Experience with electronic claims submission (EDI 837P) and ERA/EOB payment posting
Familiarity with EMS billing software (e.g., Zoll Billing, EMS Billing Services, TriTech, or similar)
Strong understanding of HIPAA Privacy Rule and ambulance billing compliance requirements
High school diploma or GED required; Associate's degree in Accounting, Health Information, or
related field preferred
Must not appear on OIG List of Excluded Individuals/Entities (LEIE)
PREFERRED QUALIFICATIONS
Certified Ambulance Coder (CAC) or Certified Professional Biller (CPB) designation
Experience billing for MassHealth (Massachusetts Medicaid) ambulance transport services and PT-1
forms
Knowledge of MTM and other non-emergency medical transportation (NEMT) broker billing
Experience with Medicare medical necessity documentation review for ambulance transport
Bilingual (English/Spanish or English/Haitian Creole) a strong plus
Prior experience with a small or startup ambulance company ability to work independently
PHYSICAL REQUIREMENTS
Ability to lift and maneuver at least 125 lbs with assistance
Ability to walk up and down stairs carrying equipment
Ability to sit, stand, kneel, bend, and crawl as duties require
Ability to work in varied environments, including low light and confined spaces

Epoch Health Care LLC is an Equal Opportunity Employer. We encourage candidates from all
backgrounds to apply.