AR Revenue Cycle Collections Specialist

AR Revenue Cycle Collections Specialist

Lifeline Ambulance Network is a multi-market private ambulance provider delivering emergency and non-emergency medical transportation services. Our revenue cycle team plays a critical role in ensuring accurate reimbursement, compliance with payer regulations, and financial sustainability across EMS operations.

We're seeking an AR Revenue Cycle Collections Specialist who understands the urgency, complexity, and nuance of EMS billingsomeone who can own their work, push claims to resolution, and communicate effectively with payers and internal stakeholders.

Position Summary

The AR Revenue Cycle Collections Specialist is responsible for managing unpaid and underpaid ambulance claims, resolving denials, and ensuring timely follow-up in accordance with payer guidelines. This role requires strong analytical skills, persistence, and comfort navigating Medicare, Medicaid, and commercial payer regulations specific to EMS transport.

Key Responsibilities

Claims & Denials Management

• Resolve all assigned denial and correspondence tasks with accuracy and urgency
• Research and correct claim rejections, denials, and underpayments
• Prepare and submit corrected claims, appeals, and supporting documentation

Accounts Receivable Optimization

• Actively work unpaid claims 60+ days from date of service
• Ensure previously worked claims are re-reviewed every 30 days or less
• Identify root causes of recurring denials and escalate trends appropriately

Appeals & Payer Follow-Up

• Submit formal appeals and track outcomes through final resolution
• Communicate directly with Medicare, Medicaid, and commercial payers
• Maintain detailed documentation of payer interactions and appeal status

Cross-Functional Communication

• Serve as a liaison between payers, patients, billing leadership, and operations
• Provide clear updates on high-dollar or high-risk claims
• Support internal audits and compliance efforts as needed

Required Qualifications

• 12 years of revenue cycle or AR collections experience (EMS billing strongly preferred)
• Working knowledge of CPT, ICD-10, and HCPCS coding
• Strong understanding of government and commercial payer rules, especially for ambulance transport
• Proficiency in Microsoft Excel and Word
• High school diploma or equivalent required

Core Competencies

• Detail-oriented & analytical able to spot trends and solve complex billing issues
• Persistent & organized follows claims through to resolution without dropping the ball
• Clear communicator professional, confident payer and internal communication
• Accountable & adaptable owns outcomes and adjusts quickly to changing priorities