Fire Medical Billing Specialist

Salary: $26.75 - $39.71 Hourly
Location : Goodyear, AZ
Job Type: Full-Time
Job Number: FY2600708
Division: Fire Department
Department: Fire Department
Opening Date: 05/28/2026
Closing Date: 6/11/2026 5:00 PM Arizona
FLSA: Non-Exempt


Job Description Summary
Incumbent is responsible for performing medical billing and collection processes for the Goodyear Fire Department including creating, updating, and maintaining accounting spreadsheets; preparing and auditing daily deposits; patient refunds; auditing medical billing and medical charts; reconciling revenue and expenditure reports; and ensuring critical deadlines are met. Incumbent performs quality assurance regarding complete documentation for billing purposes and answers inquiries from insurance companies and patients. Incumbent is responsible for all actions pertaining to the billing, accounting and collections process and will often be tasked with time-critical projects that entail working with sensitive and confidential information.

The Goodyear Fire Department seeks a Medical Billing Specialist is responsible for performing medical billing and collection processes for the Goodyear Fire Department including creating, updating, and maintaining accounting spreadsheets; preparing and auditing daily deposits; patient refunds; auditing medical billing and medical charts; reconciling revenue and expenditure reports; and ensuring critical deadlines are met. Incumbent performs quality assurance regarding complete documentation for billing purposes and answers inquiries from insurance companies and patients. Incumbent is responsible for all actions pertaining to the billing, accounting and collections process and will often be tasked with time-critical projects that entail working with sensitive and confidential information.

At the City of Goodyear, you will be a part of an organization that values its employees as its greatest asset. You will thrive in a culture of innovation. We believe that successful employees are those that possess six core values:


Integrity - Initiative - Empathy - Optimism - Innovation - Adaptability

EXAMINATION PROCESS

Only a limited number of the most highly qualified applicants meeting the City's requirements will be invited for an interview. The examination process for this position will include a panel Interview and may include a written assessment.

All communication regarding application status and interview notifications will be sent via email- please monitor your junk/spam email for communication as messages will come from a system generated source.

Essential Functions

• Performs a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing medical charts and medical billing, preparing patient refunds, collection accounts and deposits; conducts research; determines and raises pertinent issues, summarizes findings and presents results; and administers programs in assigned area.
• Assists with updating spreadsheets and reports with current fiscal year data, graphs and budget information.
• Assists with the management of associated special revenue accounts, invoicing, and monthly reconciliations.
• Researches, compiles, and creates reports and presentations where routine analysis or technical data is required; notifies appropriate individuals of potential problems based upon compiled information and data and recommends potential solutions.
• Participates in a variety of meetings, briefings, committees, and/or other related groups to provide support in assigned area of responsibility.

Requirements

• Formal Education/Knowledge: Work requires knowledge of a specific vocational, administrative, or technical nature that may be obtained with six-months/one year of advanced study or training past the high school equivalency. Community college, vocational, business, technical or correspondence schools are credible institutions. Appropriate certification may be awarded upon satisfactory completion of advanced study or training.
• Experience: Minimum two years of experience in a related field.
• Certifications and Other Requirements: None.
• Reading: Work requires the ability to read policies, procedures, council actions, and city codes at a college level.
• Math: Work requires the ability to perform math calculations, problem solving and analyzing financials at a college level.
• Writing: Work requires the ability to write correspondence and procedures to internal and external customers at a college level.
• Managerial: Job has no responsibility for the direction or supervision of others but role may include overseeing work quality, training, instructing and scheduling work.
• Policy/Decision Making: Moderate - The employee normally performs the job by following established standard operating procedures and/or policies. There is a choice of the appropriate procedure or policy to apply to duties. More complex work as well as decisions with more significant impacts may be reviewed prior to being finalized.
• Technical Skills: Broad Application - Work requires a comprehensive, practical knowledge of a technical field with use of analytical judgment and decision-making abilities.
• Interpersonal/Human Relations Skills: Moderate - Interactions may involve support of controversial positions or the negotiation of sensitive issues or important presentations. Contacts may also involve stressful, negative interactions requiring high levels of tact and the ability to respond to aggressive interpersonal interactions.

12 Month Objectives
EMS Billing Specialist 12 Month Objectives

PHASE I: FOUNDATIONAL KNOWLEDGE (Months 1-3)1. Compliance Training

Training Objectives:

• Medicare Ambulance Fee Schedule training.
• AHCCCS billing guidelines review.
• Commercial payer requirements overview.
• CMS documentation standards review.
• HIPAA Privacy & Security Rules training.
• Business Associate Agreement (BAA) requirements.
• False Claims Act overview related to EMS billing.

Competency Outcomes:

• Demonstrate understanding of medical necessity requirements.
• Understand documentation deficiencies impacting reimbursement.

System & Vendor Platform

Training Objectives:

• ImageTrend (ePCR) user training.
• EMS MC billing software (EMSight) and reporting module training.
• Contexture/HIE insurance discovery training.
• Understanding EMS MC claim denial reports.

Competency Outcomes:

• Ability to effectively prebill EMS charts for billing vendor.
• Independently run billing reports.
• Identify denial trends within vendor reporting.
• Trace a claim from transport to reimbursement.

PHASE II: OPERATIONAL Knowledge (Months 4-6)3. Documentation Review & QA Training

Training Objectives:

• Shadow vendor claim submission process.
• Participate in internal chart reviews (EMS CQI).
• Understand signature, PCS, level of service, and ICD-10 requirements.

Competency Outcomes:

• Conduct independent internal QA reviews.
• Identify recurring documentation errors.

Finance Training
Training Objectives:

• Munis/Tyler Cashiering software training.
• Refund process training.
• Understand reconciliation process & reporting.
• Check deposit process training.

Competency Outcomes:

• Ability to complete daily deposits received from finance department.
• Prepare refund packets for submission to finance department for processing.

PHASE III: ANALYTICAL & FINANCIAL DEVELOPMENT (Months 7-9)5. Financial Metrics & KPI Training

Training Objectives:

• Successfully complete CAC certification.
• Understand Net Collections Percentage.
• Understand Clean Claim Rate.
• Understand Accounts Receivable Aging.
• Understand differences in reimbursement per transport.
• Knowledge of third-party clearing houses & various insurance providers.

Competency Outcomes:

• Identify revenue risk trends.
• Explain financial impact of documentation errors.
• Ability to locate EOBs & remittance advice documents successfully.

Vendor Oversight & Contract Review Training

Training Objectives:

• Review EMS MC performance standards.
• Understand service level expectations.
• Participate in vendor performance meetings.

Competency Outcomes:

• Ability to identify prebilling errors.
• Recommend vendor accountability improvements.

PHASE IV: STRATEGIC & LEADERSHIP DEVELOPMENT (Months 10-12)7. Process Improvement & Policy Training

Training Objectives:

• Study internal billing SOP.
• Review CMS updates and regulatory changes.

Competency Outcomes:

• Propose one process improvement initiative.
• Demonstrate understanding of risk mitigation practices.

Customer Service & Escalation Management Training

Training Objectives:

• Develop response protocols for patient escalations.
• Review de-escalation communication techniques.
• Learn documentation standards for high-risk accounts.

Competency Outcomes:

• Respond to escalated accounts within two business days.
• Reduce repeat complaint trends.
• Demonstrate consistent professional communication.

YEAR-END TRAINING COMPLETION BENCHMARKS

• Demonstrate full ambulance billing regulatory knowledge competency.
• Independently oversee EMS MC denials and appeals.
• Conduct internal QA audits.
• Participate in vendor performance discussions.
• Recommend revenue-protection and compliance enhancements.

The City of Goodyear offers a highly competitive benefits package including:

• Vacation Leave: 14 days per year, increasing with longevity. Goodyear offers an enhanced vacation benefit of recognizing total years of service under all Arizona public retirement systems for accruing vacation.
• Sick Leave: 12 days per year
• Holidays: 12 paid holidays per year, including one floating holiday the first full pay period of January
• Flexible Holiday: 24 hours per calendar year (prorated based on hire date)
• Health Insurance: Three health plans available to select from at a group rate
• Dental Insurance: Two dental plans available to select from at a group rate
• Vision Insurance: Available at a group rate
• Flexible Spending Accounts: Health Care and Dependent Care accounts available
• Short Term Disability Insurance: City-paid coverage
• Cancer Benefit: City-paid coverage
• Life Insurance: City-paid insurance valued at twice the annual salary ($400,000 maximum); additional life insurance for self and/or dependent is available at employee's cost
• Longevity pay beginning at year six
• Tuition Assistance: $5,250 per calendar year
• Employee Assistance Program
• Onsite wellness center/clinic
• Access to the Goodyear Recreation Center
• Robust employee well-being program
• Free identify theft monitoring and protection with Aura
• 457 Deferred Compensation Plan: 2% city match (employee contributes 1%)
• Retirement Health Savings: $22.50 city contribution (employee contributes $12.50 per pay period)
• Retirement: Arizona State Retirement System (ASRS) Defined Benefit plan with mandatory city and employee contributions currently at 12.00%. Plan includes Long Term Disability Benefit.

01


What is the highest level of education you possess?

• High School Diploma or GED
• High School Diploma or GED + 6 months of college
• Associate's Degree
• Bachelor's Degree
• None

02


How many related years of experience do you possess?

• 1 year or less
• 2 - 3 years
• 4 - 5 years
• 6 years or more

03


Do you have a minimum of 2 years' experience reading policies, procedures, council actions and city codes at a collegiate level as well as having the ability to utilize analytical judgment and making decisions with little to no supervision.

• Yes
• No

04


Please describe your experience.
05


Do you have a minimum of 2 years' experience interacting with individuals on different levels and having controversial communications or negotiating sensitive issues or giving presentations in stressful and/or aggressive environments?

• Yes
• No

06


Please describe your experience.
07


By selecting yes, you understand and have met the minimum requirements for this position in both education and experience. Failure to do so will result in an immediate withdrawal from the recruitment process.

• Yes
• No

08


Do you have experience working in an office setting and being able to empathize with customers as well as the ability to multitask with interruptions while meeting strict deadlines?

• Yes
• No

09


Please describe your experience.
Required Question