Direct all aspects of the ambulance billing revenue cycle.
Oversee claim processing from charge entry through payment posting and account resolution.
Ensure accurate and timely billing of Medicare, Medi-Cal, commercial insurance, managed care, workers' compensation, auto liability / personal injury, and self-pay accounts.
Monitor clean claim rates and billing accuracy.
Establish workflows that improve reimbursement and reduce claim turnaround times.
Oversee timely follow-up on unpaid claims. Accounts Receivable Management
Monitor aging reports and collection performance.
Establish collection priorities and productivity goals.
Reduce aged receivables.
Analyze reimbursement trends.
Identify payment delays and implement corrective action.
Monitor write-offs and contractual adjustments. Denials Management
Develop denial prevention strategies.
Review denial trends.
Coordinate appeals.
Ensure timely reconsiderations and rebilling.
Monitor overturn rates. Ambulance Billing Compliance
Maintain compliance with all applicable regulations, including the Medicare Ambulance Fee Schedule, California Medi-Cal regulations, HIPAA, CMS documentation requirements, OIG Compliance Guidance, the No Surprises Act (when applicable), and state and federal billing regulations.
Ensure documentation supports billed services. Coding Oversight
Supervise coding staff to ensure correct HCPCS coding, proper modifier usage, ICD-10 diagnosis coding, medical necessity documentation, and compliance with CMS guidelines.
Review coding audits and implement education as needed. Financial Reporting
Prepare and present reports including Net Collection Rate, Gross Collection Rate, Days in Accounts Receivable, Aging by Payer, Cash Collections, Charge Lag, Denial Rates, Payment Variances, Bad Debt Trends, and Productivity Metrics.
Provide recommendations to executive leadership.
Responsible for monitoring and improving the following key performance indicators Team Leadership
Supervise billing office personnel.
Recruit, hire, train, and mentor staff.
Conduct performance evaluations.
Establish productivity standards.
Develop training programs.
Promote teamwork and accountability. Process Improvement
Identify opportunities to improve revenue capture, billing accuracy, collection rates, automation, workflow efficiency, and customer satisfaction.
Lead revenue cycle improvement initiatives. Customer Service
Oversee staff responding to patient billing inquiries, insurance questions, payment arrangements, attorney requests, and provider inquiries.
Ensure professional and compassionate customer service. Vendor Management
Coordinate with billing software vendors, clearinghouses, collection agencies, payment vendors, and insurance representatives.
Monitor vendor performance. Audit & Compliance
Coordinate internal billing audits, Medicare audits, Medi-Cal audits, RAC audits, and documentation reviews.
Implement corrective action plans when necessary. Qualifications Education
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or Accounting. Equivalent experience may be considered. Experience
Minimum 5-7 years of progressively responsible healthcare revenue cycle experience, including ambulance billing, Medicare reimbursement, Medi-Cal reimbursement, commercial insurance, accounts receivable management, and supervisory experience. Knowledge
Strong knowledge of ambulance reimbursement, CMS regulations, the Medicare Ambulance Fee Schedule, and the Medi-Cal Ambulance Program.
Insurance billing, appeals, collections, and contractual adjustments.

HIPAA, ICD-10, HCPCS

coding, and medical necessity requirements. Skills

Leadership and staff development.
Financial analysis and revenue cycle analytics.
Process improvement and project management.
Advanced Excel and billing software proficiency.
Critical thinking, communication, and negotiation.
Customer service.

Join us in leading our revenue cycle operations by ensuring seamless financial processes that support high-quality patient care while maintaining regulatory compliance! Come be part of an exciting and fast paced team! Medic is on the cutting edge of EMS with exciting advancement opportunities. Visit www.medicambulance.net to learn more about our company or to access our online application! Medic Ambulance Service is an Equal Opportunity Employer and all qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Pay:

$140,000.00 - $180,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

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