Ambulance Billing Specialist

Job Description

Job Description

About the RoleWe are a growing ambulance company providing non-emergent Ambulance Services throughout California. Due to our high-volume environment, we are seeking an experienced Ambulance Billing Specialist who understands the complexities of ambulance reimbursement and can take full ownership of the revenue cycle.This is not an entry-level billing position. We are looking for someone who is experienced, accountable, detail-oriented, and results-driven, with a proven ability to manage claims, resolve denials, work A/R, and maximize reimbursement.The ideal candidate will be comfortable working independently, understanding payer requirements, identifying documentation issues, and aggressively following up on outstanding accounts.Key ResponsibilitiesManage the full ambulance billing and revenue cycle process, from charge entry through final paymentSubmit clean, accurate, and timely claims to Medicare, Medi-Cal, managed care plans, and other payersReview patient and transport documentation for billing accuracy and complianceVerify medical necessity, PCS forms, transport narratives, mileage, and level of serviceApply appropriate billing codes, modifiers, base rates, and mileage chargesManage and prioritize accounts receivable (A/R) to maximize collections and reduce agingPerform consistent payer follow-up on unpaid, delayed, and underpaid claimsResearch and resolve claim rejections, denials, underpayments, and payment discrepanciesPrepare and submit effective appeals and reconsiderations when claims are deniedPost and reconcile insurance and patient payments accuratelyIdentify recurring denial and underpayment trends and recommend corrective actionCommunicate with operations, dispatch, and field staff regarding missing or incomplete documentationMonitor billing performance and maintain accurate records of claim status and follow-up activityTrack and report key billing metrics, including:Clean claim rateA/R agingCollection performanceDenial rateAppeal outcomesUnresolved claimsAssist with payer audits, documentation requests, compliance reviews, and other revenue-cycle projectsMaintain strict confidentiality and comply with applicable billing, privacy, and regulatory requirementsRequired Qualifications - Non- NegotiableAmbulance billing experience is mandatory. Applicants without ambulance-specific billing experience will not be considered.THIS IS NOT A REMOTE POSITION. THIS IS ONLY AN ON-SITE POSITION.Candidates must have:At least 2–3 years of hands-on ambulance billing experienceStrong working knowledge of Medicare ambulance billing guidelinesExperience billing Medi-Cal and Medi-Cal managed care plansStrong understanding of ambulance levels of service and billing requirementsExperience with PCS forms and medical necessity documentationKnowledge of ambulance modifiers, base rates, mileage, and transport billingStrong working knowledge of ICD-10-CM diagnosis codingProven experience handling denials, rejections, underpayments, and appealsDemonstrated ability to independently manage A/R and payer follow-upExcellent attention to detail and strong organizational skillsAbility to work efficiently in a high-volume billing environmentStrong communication and problem-solving skillsAbility to take ownership of assigned accounts and follow issues through to resolutionWhat We're Looking ForWe are looking for a problem-solver and revenue-cycle professional-not simply someone who submits claims.The right candidate will:Take ownership of their A/RKnow how to research and resolve difficult claimsUnderstand why claims are being denied-not just how to resubmit themBe persistent with payer follow-upCatch documentation and billing issues before they become lost revenueUnderstand the financial impact of clean claims and timely follow-upWork independently while communicating effectively with the rest of the organizationBe accountable for results and committed to continuously improving the billing processPreferred QualificationsExperience with ambulance billing software or EMS billing platformsExperience working with California ambulance providersExperience with Medicare, Medi-Cal, and commercial ambulance payersFamiliarity with payer portals and electronic claim submissionExperience preparing formal appeals and reconsiderationsExperience tracking billing KPIs and A/R performanceWhy Join Us?We are a growing ambulance company with a high-volume operation and an opportunity for the right billing professional to make a direct impact on revenue and cash flow.If you have strong ambulance billing experience, understand the complexities of California payer requirements, and are confident managing A/R from claim submission through resolution, we want to hear from you.Please apply only if you have at least 2–3 years of direct ambulance billing experience. Candidates without ambulance-specific billing experience will not be considered.