Ambulance Billing Specialist

Ambulance Billing Specialist

LifeLine Ambulance Illinois is seeking an experienced Ambulance Billing Specialist to join our team in Skokie, Illinois. As a key member of our revenue cycle team, you will play a vital role in ensuring accurate and timely insurance verification, prior authorization, and medical necessity review for our non-emergency medical transports (NEMT) and facility-to-facility transfers.

Responsibilities:

• Perform comprehensive insurance verification to confirm active coverage and benefits
• Initiate and track prior authorization requests through various payer portals
• Verify patient insurance eligibility and ensure all documentation meets medical necessity and regulatory standards
• Submit and track authorization requests for NEMT and facility-to-facility transfers via insurance portals, fax, or phone
• Analyze patient care reports and Physician Certification Statements (PCS) to ensure they meet specific payer criteria for the requested level of transport
• Manage and maintain accurate digital and physical documentation, including scanning medical records, managing digital attachments, and uploading files into the billing system

Requirements:

• 1-2 years of experience in revenue cycle, with previous experience in EMS billing highly preferred
• Technical knowledge of CPT, ICD-10, and HCPCS coding, along with a deep understanding of government and commercial payer regulations
• Proficiency in Microsoft Office (Word, Excel) and strong typing skills
• High school diploma or equivalent required

Core Competencies:

• Time Management: capable of handling high-volume requests with tight deadlines
• Detail Oriented: high level of accuracy in verifying policy numbers and effective dates to prevent downstream denials
• Communication: proven ability to maintain professional composure and high productivity during extended insurance hold times, utilizing verbal de-escalation and persuasive communication to resolve claim denials efficiently

What We Offer:

A dynamic and supportive work environment with a growing company, competitive hourly rate of $19-$23, and opportunities for career advancement.