Ambulance Billing Specialist We are a growing ambulance company providing non-emergent transports in California. We operate in a high-volume environment and are seeking an experienced ambulance biller who can manage the full revenue cycle. This role is designed for someone who takes ownership of A/R, understands payer rules, and is accountable for results.
Role Summary:
The Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up. This position plays a critical role in protecting company revenue and improving cash flow.
Key Responsibilities:- Submit clean, accurate ambulance claims in a timely manner
- Ensure compliance with CMS ambulance billing guidelines
- Review documentation for medical necessity, PCS forms, narratives, and mileage
- Manage accounts receivable and aggressively follow up on unpaid claims
- Resolve denials, underpayments, and rejections
- Prepare and submit appeals as needed
- Post and reconcile payments accurately
- Identify trends in denials and underpayments and recommend corrective actions
- Communicate with operations and dispatch regarding documentation deficiencies
- Track and report billing KPIs, including clean claim rate and A/R aging
- Assist with audits, payer requests, and compliance reviews
Required Qualifications:
(Non-Negotiable) Minimum 23 years of ambulance billing experience Strong knowledge of Medicare ambulance billing guidelines, Medi-Cal and managed care plans, Levels of Service Billing requirements, PCS forms and medical necessity documentation, Modifiers, base rates, and mileage billing, Strong working knowledge of ICD-10 diagnosis codes Proven experience with denial management and appeals Ability to independently manage A/R and follow-ups High attention to detail and strong organizational skills Applicants without ambulance-specific billing experience will not be considered.
