Deputy Chief - Patient Account Services and Revenue Cycle - Emergency Medical Service

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Fort Bend County is ranked as one of the fastest growing counties in the nation. We have capitalized on not only the creed of our location, but on the "quality of life" for our families to call home. Our employees are the key to our success and the heartbeat of our foundation. The diversity and inclusivity of our community is our strength and at the forefront of a workplace environment welcoming to all. Live Here! Work Here!

• Develops and directs the EMS revenue-cycle strategy to maximize lawful reimbursement from insurance carriers and other responsible third-party payers before seeking payment from patients.
• Establishes policies and procedures for insurance discovery, benefits verification, coordination of benefits, claims processing, payer follow-up, patient billing, payment arrangements, collections, refunds, write-offs, and account adjustments.
• Oversees the accurate and timely coding, submission, correction, resubmission, and follow-up of Medicare, Medicaid, commercial insurance, workers' compensation, liability, and other claims.
• Directs denial management and appeals, identifies reimbursement trends and revenue loss, reviews payments for accuracy, and implements corrective actions to address denials, underpayments, non-payments, and improper adjustments.
• Collaborates with EMS Operations, Clinical Practice, Quality Assurance, Information Technology, hospitals, and other healthcare organizations to obtain the documentation and information necessary to support accurate billing, medical necessity, and reimbursement.
• Maintains an ambulance billing compliance program consistent with federal and state requirements, payer rules, County policy, and standards addressing coding, documentation, auditing, overpayments, refunds, and prevention of fraud, waste, and abuse.
• Establishes internal controls, conducts or coordinates billing audits, investigates compliance concerns, and works with EMS leadership, the County Attorney, Finance, Internal Audit, and other departments to implement corrective action.
• Establishes performance goals and monitors revenue, collections, accounts receivable, claim acceptance, denials, appeals, write-offs, patient balances, staff productivity, and other revenue-cycle measures.
• Uses financial and operational data to identify trends, forecast revenue, prioritize accounts, evaluate fees and payer performance, support budget preparation, and recommend improvements.
• Develops and maintains daily, weekly, monthly dashboards and reports on overall cash collections and billing operational performance.
• Serves as the department's primary liaison with government and commercial payers, clearinghouses, collection agencies, billing vendors, hospitals, and other revenue-cycle partners. Oversees payer enrollment, credentialing, revalidation, electronic claims and remittance processes, and vendor performance.
• Ensures patient billing and collection activities are accurate, respectful, transparent, and consistent with applicable law and County policy. Oversees the resolution of billing questions, disputes, complaints, financial-hardship requests, payment arrangements, and account corrections.
• Directs PAS personnel functions, including employee selection, orientation, assignments, training, professional development, performance management, retention, and corrective action.
• Coordinates PAS staff participation in emergency-management activities when directed by EMS Command Staff.
• Develops well documented policies and procedures as well as training and new employee orientation programs. This includes for all of Patient Account Services as well as field providers and leaders throughout the organization.

MINIMUM JOB REQUIREMENTS:

• Bachelor's degree in healthcare administration, business administration, finance, accounting, public administration, health information management, or a closely related field. 4 years of relevant progressively responsible EMS revenue-cycle experience may be considered in place of the educational requirement in addition to the 5 years experience requirement.
• 5 years documented experience in ambulance or healthcare revenue-cycle operations, including billing, coding, collections, denial management, payer relations, or accounts receivable, as well as supervisory or management responsibilities. Direct experience with governmental EMS billing is preferred.
• Knowledge of ambulance coding, Medicare and Medicaid billing, commercial insurance, claims processing, medical necessity, payer appeals, coordination of benefits, accounts receivable, healthcare compliance, HIPAA, auditing, electronic claims and remittance transactions, and patient collection practices.
• Ability to analyze financial and operational data, identify revenue leakage, develop corrective strategies, interpret payer policies, manage complex accounts, communicate with insurers and regulators, and translate billing requirements into operational policies and employee training.
• Strong verbal and written communication, management, supervisory, organizational, and interpersonal skills; ability to deal effectively with the public, employees, vendors, payers, regulators, and elected officials.
• Certified Ambulance Coder certification or another nationally recognized ambulance billing or coding credential approved by the department is preferred at appointment and must be obtained within six months of employment and maintained thereafter.

STARTING SALARY RANGE: $51.29 - $64.12 hourly based on qualifications

JOB POSTING CLOSING DATE: November 13, 2026 at 5:00 pm

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All full-time and part-time employees are members of the Texas County District Retirement System (TCDRS). Full-time employees also enjoy a wide-range of great benefits.


Fort Bend County is an equal opportunity employer, committed to non-discrimination in employment on any basis including race, color, religion or creed, sex, sexual orientation, gender, gender identity, gender expression, pregnancy status (including childbirth and related medical conditions), national origin, ethnicity, citizenship status, age (40 and over), physical or mental disability, genetic information, protected military and veteran status, political affiliation or beliefs, or any other classification protected by state, federal and local laws, unless such classification is a bona fide occupational qualification.


For more information on Fort Bend County's Title VI / Nondiscrimination Statement, visit


Fort Bend County is committed to providing equal opportunity and reasonable accommodations to employees with disabilities. FBC complies with the Americans with Disabilities Act and all other applicable federal, state and local laws regarding disability discrimination and accommodation.