Job description
Introduction
The Tucson Fire Department is seeking detail-oriented candidate for Ambulance Billing Specialist I to perform medical billing functions by verifying information on ambulance Electronic Patient Care Reports, recording information, entering, and reviewing data in the system for accuracy, copying, filing and coding EMS ambulance Electronic Patient Care Reports for billing insurance carriers or patients. Work requires demonstrated expertise in all phases of medical billing to include accounts receivable management, ICD coding, HCPCS codes and third-party reimbursement. A qualified candidate must have knowledge of medical and insurance terminology and must possess interpersonal skills sufficient to interact effectively with patients, families, and payor personnel. The candidate must have the ability to problem solve, prioritize work and adapt to changing situations in a fast-paced environment.
General Description
Essential Functions
- Verifies service details, including pick-up and drop-off addresses, date and time, call type, response priority and transport priority.
- Verifies patient demographics, including name, address, date of birth, social security number, insurance information and eligibility, and updates as needed.
- Ensures trip tickets received is equal to the total trips for that day by reviewing dispatch logs and patient care reports.
- Utilizes EMS practice management software to enter necessary claim details and patient information.
- Reviews patient care reports and medical reports for medical necessity and to apply the appropriate service code, ICD-10 diagnosis code, condition code, and origin/destination modifier.
- Initiates clean electronic or paper claims to the appropriate payer source to ensure timely reimbursement from payers and patients.
- Communicates between patients and payers regarding the status of claims and to help resolve issues by providing requested information.
- Performs basic claim corrections, appeals, and follow up activities with payers and patients.
- Prepares and reconciles daily deposits.
Minimum Qualifications
- Minimum Education Level & Type: 6 months post High School
- Minimum Experience Qualifications: At least 1 year of experience in medical or ambulance billing and ICD coding
Special Job Requirements
Preferred Qualifications
- Certified Ambulance Coder (CAC) Certificate or Certified Professional Coder (CPC) Certificate.
- Knowledge of Medicare / Medicaid regulations for state of Arizona.
- Current or previous EMT Certification.
Selection Plan
- 40% of your rating for written exam
- 60% of your panel (oral board) interview
Conclusion
Pre-Employment Medical Testing Requirements
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