Job Description

No solicitors should contact City Ambulance Service at any time. Also, please be aware that you are calling a dispatch line when you "Google" our company. We do not list a phone number because applicants should contact us via indeed only. Thank you.

Position Summary

To succeed in this role, you must possess in-depth knowledge of Out of Network collections practices and insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with various insurance companies, plan administrators, team members and customers. This position requires a driven individual that can multi-task, problem solve, and manage workload and time effectively. Able to manage stress.

Job Requirements/Qualifications

• At least 3 years Out of Network Insurance Collection experience required.
• Recent experience with Ambulance or Freestanding Emergency Room insurance collections preferred.
• Experience with ERISA appeals preferred.
• Knowledge of various medical benefit coverages and plan funding types.
• Organized, dependable, self-sufficient, hardworking, analytical, and detail orientated.
• Knowledge of payer denials and appeal processes.
• Knowledge of Electronic Medical Records, Collections, Payment Posting, Reimbursement and Billing.
• Knowledge of HIPPA, ICD-9/ICD-10 and HCPCS coding, medical terminology, and the CMS 1500 claim form.
• Ability to read the Explanation of Benefits [EOB] from various payers.
• Strong phone etiquette with exceptional customer service skills.
• Ability to work through stressful situations professionally and respectfully.
• Microsoft Office 365 proficiency, specifically Excel.

Essential Job functions and responsibilities

• Receives, investigates, and responds to inquiries from payors.
• Actively follow-up and collect on all outstanding electronic or paper submission claims by either phone or payer portals.
• Review Insurance EOB and initiate considerations or appeals as necessary.
• Take initiative and able to work independently.
• Managing a high productivity workload.
• Resolves all customer requests, inquiries, concerns, in an expedient, respectful and professional manner.
• Identify and report all payer issues to management.
• Understand and comply with all governmental, regulatory, billing, compliance regulations and corporate policies.
• Detail oriented and proficient in researching payer fee schedules, guidelines, medical and reimbursement policies.
• Strong ability to communicate with plan administrators, insurance companies and patients in a professional and respectful manner.

Job Type: Full-time

Experience:

• Collections: 5 years minimum (Required)

Education:

• High school or equivalent (Required)

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Weekend availability

Work Location: In person

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