EMS Revenue Cycle Director

Job Description

Job Description

About Us:

At Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect.

Position Summary
The Revenue Cycle Director is responsible for overseeing all aspects of the ambulance billing revenue cycle, from patient intake and charge capture through final payment resolution. This role ensures accurate billing, maximizes reimbursement, maintains compliance with federal and state regulations, and leads performance improvement initiatives within EMS billing operations.

• Oversee end-to-end ambulance billing operations including charge entry, coding, claims submission, payment posting, and collections
• Monitor key performance indicators (KPIs) such as days in A/R, collection rates, denial rates, and cash flow
• Identify and implement strategies to improve reimbursement and reduce revenue leakage

• Ensure proper use of EMS billing codes, including HCPCS and modifiers specific to ground and air ambulance services
• Maintain compliance with Centers for Medicare & Medicaid Services (CMS), Medicare, Medicaid, and commercial payer guidelines
• Stay current on ambulance fee schedules, local coverage determinations (LCDs),and documentation requirements

• Oversee denial management processes, including root cause analysis and appeals
• Reduce aged receivables and improve collection turnaround time
• Work closely with billing staff to resolve complex claims and payer issues

• Supervise billing, coding, and A/R staff (internal or outsourced vendors)
• Provide training on ambulance billing regulations, documentation standards, and system workflows
• Establish productivity benchmarks and conduct performance evaluations

• Partner with EMS leadership, fire departments, and third-party billing vendors in person and virtually
• Provide regular reporting and insights on revenue performance
• Support contract negotiations with payers and billing partners

• Optimize billing software and electronic patient care reporting (ePCR) integrations
• Lead automation and workflow improvements to increase efficiency
• Ensure data integrity across systems

• Bachelor’s degree in healthcare administration, business, finance, or related field (or equivalent experience)
• Minimum 5 years of experience managing a revenue cycle team, preferably in EMS or ambulance billing
• Strong knowledge of Medicare/Medicaid ambulance billing rules and payer requirements
• Experience managing A/R, denials, and collections

• Experience with ambulance billing platforms (e.g., ESO, ImageTrend, Zoll)
• Familiarity with NEMSIS data standards
• Certification such as CPC (Certified Professional Coder) or CPB (Certified Professional Biller)

• Analytical mindset with strong attention to detail
• Leadership and team development skills
• Process improvement and problem-solving ability
• Strong communication skills with both clinical and financial stakeholders

At Paramedic Services of Illinois, our company culture is built on the foundation of compassion, professionalism, and teamwork. For over 50 years, we have been committed to creating a supportive and inclusive work environment where every team member is valued and respected. Our philosophy extends not only to our patients but also to our employees, who play a vital role in fulfilling our mission of providing exceptional emergency medical care to our communities.

Join our team at Paramedic Services of Illinois and be part of a company that truly cares about its employees and the communities we serve.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.