Accounts Receivable Specialist

Reports To: Director of Billing Operations Schedule: Full time Employment Status: Non-exempt POSITION SUMMARY: Responsible for managing ambulance billing accounts, following up on unpaid insurance claims, resolving claim denials, and ensuring timely reimbursement from insurance companies and patients. This position involves reviewing billing records, communicating with insurance carriers, correcting claim errors, appealing denied claims, and maintaining accurate account documentation.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Review and submit ambulance transportation claims to Medicare, Medicaid, commercial insurance companies, and other payers. Follow up on outstanding insurance claims and unpaid accounts to ensure timely payment. Investigate denied, rejected, and underpaid claims and determine the reason for non-payment. Contact insurance companies to verify claim status, payment details, coverage, and denial reasons.

Prepare and submit corrected claims, reconsiderations, and appeals when necessary. Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify payment discrepancies. Research eligibility, benefits, coordination of benefits, authorization requirements, and patient coverage issues. Resolve billing discrepancies involving ambulance transport services, mileage, medical necessity, and required documentation.

Work with internal billing, coding, and operations teams to obtain missing information and correct claim errors. Maintain accurate follow-up notes, account records, and claim status updates in billing software. Monitor accounts receivable aging reports and prioritize overdue claims. Identify trends in recurring denials and recommend solutions to reduce future billing errors.

Escalate complex claims and unresolved payment issues to management when appropriate. Protect patient confidentiality and comply with HIPAA requirements and applicable billing regulations. COMPANY STANDARDS Perform all duties in a safe, courteous, confidential and professional manner. Maintain a positive and professional image by being well groomed and properly attired at all times.

Mentor, train, and encourage fellow staff as needed, to help them attain their full potential. Complete all reports legibly, accurately, and on a timely basis. Maintain confidentiality of all customer and Armstrong information. PATIENT PRIVACY Employees are expected to protect the privacy of all patient information in accordance with Company policies, procedures, and practices, as required by Law, and in accordance with general principles of professionalism as a health care provider.

Employees may access protected health information and other patient information only to the extent that it is necessary to complete job duties and may only share such information with those who have a need-to-know specific patient information to complete their job responsibilities related to treatment, payment, or other company operations.

Employees are encouraged and expected to report, without the threat of retaliation, any concerns regarding the company’s policies and procedures on patient privacy and any observed practices in violation of that policy to the designated management personnel.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education

Associate’s degree or higher preferred. Minimum of 2 years of medical billing, ambulance billing, insurance follow-up, or accounts receivable preferred. Knowledge of Medicare, Medicaid and commercial insurance billing processes. Understanding of claim denials, appeals, payment posting, and insurance reimbursement. Familiarity with medical billing software, electronic claim systems, and Microsoft Office.

Strong communication, organization, problem-solving, and documentation skills. Ability to manage multiple accounts, meet productivity goals, and work independently in an office environment. Knowledge, Skills and Abilities: Strong customer service orientation. Ability to communicate financial information clearly and respectfully.

Excellent negotiation and problem-solving skills. Ability to work independently while managing multiple priorities. Strong attention to detail. Ability to maintain confidentiality and professionalism. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must: Occasionally lift carry, push and/or pull up to 20 pounds (i.e. office supplies). Frequent use of computers and telephones. Prolonged periods of sitting. WORK ENVIRONMENT: The work environment is representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position is primarily performed in an office setting with extensive telephone and computer use. EEO is The Law - click here for more information Opens a New Window. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled