Main Function:
Griffin Health is seeking a detail-oriented and knowledgeable Ambulance Billing/AR Specialist to join our Patient Financial Services team. This position plays a critical role in the revenue cycle by ensuring accurate, timely, and compliant billing and collections for ambulance services in accordance with CMS guidelines and payer-specific requirements.
Responsibilities:
Verify insurance coverage and patient eligibility; obtain prior authorizations when required.
Review patient care reports and documentation to assign accurate billing codes for ambulance services (ICD-10, CPT, HCPCS).
Ensure all required signatures are present and compliant with CMS standards.
Submit clean claims to insurance companies and third-party payers.
Proactively follow up on unpaid claims, denials, and appeals.
Contact patients regarding outstanding balances and assist with account resolution.
Collaborate with patients, clients, EMS staff, and facilities to obtain missing or clarifying documentation.
Maintain accurate billing and AR documentation in compliance with HIPAA and confidentiality standards.
Stay current with evolving coding practices, billing regulations, and payer guidelines.
Contribute to revenue cycle optimization through collaboration and continuous process improvement.
Deliver high-quality customer service to patients, insurance companies, and internal stakeholders.
Qualifications:
High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
NAAC (National Academy of Ambulance Compliance) certification preferred.
Minimum 2 years of experience in ambulance billing or medical billing in a healthcare setting.
Strong understanding of CMS billing rules and payer reimbursement policies.
Proficiency in ICD-10, CPT, and HCPCS coding and related billing software.
Experience with Zoll RescueNet Billing or similar ambulance billing platforms preferred.
Familiarity with emergency medical services terminology and workflow.
Strong written and verbal communication skills.
Excellent organizational, time management, and problem-solving abilities.
Proficient in Microsoft Office applications and electronic medical records (EMR) systems.
Why Join Griffin Health?
Griffin Health is committed to providing high-quality, patient-centered care while fostering a supportive and collaborative work environment. As a Planetree-designated hospital, we emphasize compassion, transparency, and respect—for our patients and our team.
Apply Today!
Be part of a mission-driven organization where your skills make a meaningful impact.