Ambulance Billing Specialist

Ambulance Transportation Billing Specialist

Under the supervision of an assigned manager the Ambulance Transportation Billing Specialist analyzes ambulance transportation patient care medical reports for quality assurance utilizing clinical protocols, regulatory agency requirements, and medical billing process requirements. Additionally, this position develops and delivers training to new employees on ambulance transportation documentation and billing. This is treated as an FLSA non-exempt. Essential Functions: (Essential functions may vary, but may include the following tasks, knowledge, abilities, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification)

1. Analyzes ambulance transport patient care reports for billing and clinical protocol compliance to include demographic information and insurance billing information. Requests updated face sheets from receiving facility as needed

2. Performs a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing of 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.

3. 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.

4. Researches, compiles, and creates reports and presentations where routine analysis or technical data is required; notifies appropriate individuals of potential problems based upon complied information and data and recommends potential solutions.

5. Participates in a variety of meetings, briefings, trainings, committees, and/or other related groups to provide support in assigned area of responsibility.

6. Responds to citizen inquiries regarding all aspects of ambulance billing.

7. Completes training of new hire transportation employees in the aspects of billing compliance.

8. Establishes cooperative relationships with local and regional partners

9. Respond to inquiries from patients, hospitals, and insurance payers regarding transport claims; setting up payment plans; reviewing hardship requests; explaining and educating patients on the billing process.

10. Performs other job-related duties that enhance and facilitate departmental operations.

Knowledge, Skills, Abilities and Other Characteristics:

• Knowledge of the culture, customs, traditions, history and government of the Salt River Pima-Maricopa Indian Community
• Knowledge of the Salt River Fire Department policies and procedures.
• Knowledge of Medicare, Medicaid, and AHCCCS rules and regulations.
• Knowledge of Medical and/or ambulance billing process
• Knowledge of Familiarity with NEMSIS and Patient Care Reporting Software
• Knowledge of Medical billing principles
• Knowledge of HIPPA laws
• Ability to understand and perform in accordance with Medicare, Medicaid, and AHCCCS regulations and laws, and departmental policies
• Ability to develop and implement revenue generation strategies
• Ability to perform research, analyze findings and prepare administrative and technical reports
• Ability to meet and deal tactfully and effectively with the public, subordinates, peers, and supervisors
• Ability to manage time in an effective manner.
• Ability to provide effective communications
• Ability to perform analysis and problem solving.
• Ability to handle multiple projects simultaneously and use sound judgement in prioritizing.
• Ability to perform other duties as assigned
• Skill in Microsoft Office and other related software programs
• Skill in Gathering and analyzing data sets for billing purposes
• Skill in providing a professional appearance, time management and punctuality
• Skill in program management
• Skill in working effectively with web-based reports

Minimum Qualifications

Education & Experience: Graduation from an accredited college or university with an associate's degree in accounting, finance, or closely related field; OR any equivalent combination of training, education and experience to provide the requisite knowledge and ability to perform the duties as described.

• Two (2) years of experience in medical or ambulance billing and medical coding.
• Experience with Medicare/Medicaid regulations and laws.

Certifications: Certified Ambulance Coder Certification and/or National Ambulance Association Coder Certification required within one year of employment. Equivalency: Any equivalent combination of experience and education that will allow the applicant to satisfactorily perform the duties of the job may be considered when filling the position. Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill.

Special Requirements

This position is subject to working hours outside of normal workweek, including nights, weekends and holidays.

• Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances, Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children.

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check. "SRPMIC is an Equal Opportunity/Affirmative Action Employer." Preference will be given to a qualified: Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidates. To obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission). Documents may be submitted by one of the following methods: 1. Attached to the application 2. Emailed to View email address on click.appcast.io 3. Fax View phone number on click.appcast.io 4. Mailed or hand-delivered to Human Resources Documentation must be received by the position closing date. The IHS/BIA Form-4432 is not accepted. Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.

Benefits

Salt River Pima-Maricopa Indian Community Employee Benefits Overview

Salt River Pima-Maricopa Indian Community (SRPMIC) is committed to supporting the health, well-being, and financial security of our employees. We offer a comprehensive benefits package to employees, designed to enhance your quality of life both at work and at home. Below is a summary of the benefits available to SRPMIC employees. Plan details and eligibility requirements are provided upon hire and are subject to change.

Health Care Benefits

SRPMIC provides medical, dental, vision, and life insurance coverage for all regular full-time employees enrolled in standard plans. These benefits represent a significant part of your total compensation.

Medical: Choose from three plan options to fit your needsthe Low Deductible Plan, the Mid-Deductible Plan, and the High Deductible Health Plan (HDHP) with a Health Savings Account (HSA). As a self-funded plan, SRPMIC directly covers the cost of medical, pharmacy, dental, and vision services for all participants.

Dental: Enjoy nationwide access to the Humana Dental PPO/Traditional Preferred network, offering flexibility and choice in selecting dental care providers.

Vision: Coverage is provided through Davis Vision, including eye exams, lenses, frames, and contact lenses. Members also benefit from discounted rates on additional eyewear and services.

Life Insurance: All eligible employees are automatically enrolled in a fully paid basic term life insurance policy with a matching accidental death benefit.

Retirement Plans

SRPMIC supports your long-term financial goals through multiple retirement plan options:

401(k) and Roth Plans: Eligible employees can participate in both pre-tax and post-tax retirement savings plans. SRPMIC contributes 5% of your compensation to the pre-tax 401(k) and matches up to 3% of your salary deferral contributions.

Public Safety Personnel Retirement System (PSPRS): Available to eligible certified police officers and firefighters.

Arizona State Retirement System (ASRS): Available to Salt River School educators.

Health Reimbursement Arrangement (HRA): A retiree HRA with Health Equity, which is a tax-advantaged employer-funded account that retired employees (Age 55+) can use for qualified medical expenses, including some premiums, and out-of-pocket expenses such as copays and deductibles.

Paid Leave &