Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Senior Medicare Biller
Job
Empress Ambulance Service LLC
Remote
$63,700 Salary, Full-Time
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
47
out of 100
Average of individual scores
Skill Insights
Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Senior Medicare Biller 4.0 4.0 out of 5 stars Yonkers, NY 10703 Hybrid work $63,700 a year Empress Ambulance Service LLC 6 reviews $63,700 a year Position Summary The Senior Medicare Biller oversees and manages Medicare billing processes for ambulance transports in compliance with federal, state, and payer-specific regulations. This role requires advanced knowledge of Medicare ambulance billing, New York State Medicaid coordination, documentation requirements, and appeals processes. The Senior Medicare Biller serves as a subject-matter expert, ensuring timely, accurate reimbursement while maintaining compliance with all regulatory standards. Key Responsibilities Process, review, and submit Medicare claims for emergency and non-emergency ambulance services per CMS and New York State regulations Ensure accurate coding, modifiers, mileage, and level-of-service billing (BLS, ALS1, ALS2, SCT) Review documentation for medical necessity, physician certification statements (PCS), trip reports, and supporting records Identify, research, and resolve Medicare denials, underpayments, and rejections Prepare and submit redeterminations, reconsiderations, and higher-level appeals as needed Coordinate Medicare crossover claims to New York State Medicaid and other secondary insurers Maintain compliance with CMS guidelines, OIG standards, HIPAA, and company policies Monitor aging reports and follow up on unpaid or delayed claims to ensure timely resolution Act as a resource and mentor to billing staff, providing training and guidance on Medicare issues Assist with audits, compliance reviews, and internal quality-assurance initiatives Communicate effectively with Medicare Administrative Contractors (MACs), Medicaid, and internal departments Stay current on Medicare policy updates, fee schedule changes, and regulatory requirements Qualifications 3-5 years of Medicare ambulance billing experience required In-depth knowledge of CMS ambulance billing regulations and New York State billing practices Strong understanding of medical necessity requirements and documentation standards Experience with Medicare appeals and denial resolution Proficiency with ambulance billing software and electronic claim submission systems High attention to detail and strong analytical skills Ability to prioritize and meet deadlines in a fast-paced environment Excellent written and verbal communication skills Ability to maintain confidentiality and HIPAA compliance Preferred Qualifications Experience with New York State Medicaid, No-Fault, and Workers' Compensation coordination Prior supervisory or lead billing experience Familiarity with compliance audits and payer reviews CAC, CPC, CPB, or other relevant billing/coding certification Work Environment Office-based or hybrid role depending on company needs Fast-paced EMS billing environment with high-volume claim processing