Walton County Sheriff's Office - EMS Billing Specialist

Job Announcement

GENERAL JOB DESCRIPTION:

The EMS Billing Department is seeking a career-minded individual with a desire to learn and become a part of the team. Duties include: administrative and clerical tasks such as reviewing and auditing patient care reports; handling inbound and outbound phone calls from patients, insurance companies, attorneys, and personnel; answering and sending faxes; coordinating inter-facility transport paperwork; evaluating and interpreting ambulance patient care reports; processing trip tickets through the A/R cycle; assigning ICD-10-CM and HCPCS codes; claim submission and follow through to insurance payers; patient invoicing; and performing an array of other related essential tasks as assigned.

MINIMUM QUALIFICATIONS: 

• Applicants must have a high school degree or GED equivalent.
• Must possess a valid driver’s license.
• Must be at least 18 years of age.
• Must be able to type a minimum of 40 words per minute.
• Experience in data entry and computer usage in the work environment is required.
• Ability to communicate clearly and concisely both verbally and in writing.
• Internal applicants:
  • Must have completed the one (1) year probationary status with the agency and be in active permanent employment status.
  • No formal discipline within the last year.
  • Satisfactory or above performance evaluation over the last year.
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PREFERRED QUALIFICATIONS: 

• An associate degree and a minimum of one year of work experience in medical billing and coding; or a minimum of three to five (3-5) years of work experience in medical billing and coding.
• An understanding of Medicare Part A/B, SNFCB and Medicaid Provider Guidelines.
• Knowledge of ICD-10-CM coding.
• Knowledge of Federal/Managed care rules and regulations.
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RESPONSIBILITIES:

• This position will interact with the public on a regular basis over the telephone and in person from office visits dealing with all facets of the EMS billing department.
• Handle general office tasks such as fax, mail and paperwork.
• Receive, review, compile and route record requests.
• Enter, track and utilize Access database for record request tracking.
• Handle all correspondence for the Billing Department.
• Review patient care reports and available documentation for accurate hospital, mileage, and additional information to establish medical necessity at the time of transport.
• Route crew run reports back to appropriate personnel for corrections.
• Communication with internal and external departments in a professional manner obtain necessary documentation to complete the crew run reports.
• Responsible for making sure all crew run reports have been accounted for and entered.
• Compliant with all government and commercial payor policies and regulations with a focus on Medicare Part B billing.
• Work with Medicaid, Medicare, and various commercial insurers for billing and collection purposes.
• Communication with internal and external departments in a professional manner to obtain necessary documentation to complete the billing documentation.
• Review claim denials or request for information making adjustments and/or corrections in order to resubmit claims for payments to continue in the billing process.
• Verify insurance information using various resources including clearinghouse, carrier web portals, patient care report, hospital facesheet, telephone Interactive Voice Response IVR's, and provider relations and notate in EMS Billing Software.
• Ensure proper payor has been assigned to patient accounts and select the corresponding bill schedule.
• Responsible for accurate Healthcare Common Procedure Coding System (HCPCS) and ICD-10-CM codes.
• Prepare, review and route patient invoices and correspondence.
• Ability to process payments from insurance companies and prepare a daily deposit.
• Responsible for making sure all patient care reports have been accounted for and entered.
• Responsible for following payor guidelines of medical necessity and day-to-day ambulance billing.
• Monitor work and adjusts specific daily duties appropriately to ensure that all records are coded timely and billed in an accurate manner.
• Under the Health Insurance Portability and Privacy Act of 1996, this position must be capable of handling confidential protected health information and will have a working knowledge of who is authorized to obtain and use this information in the course of normal billing operations.
• This position will require a large amount of computer usage and as such a strong working knowledge of Windows 10, Windows Office Products and the capability to navigate through common Windows screens is mandatory.
• This position will interact with the public on a regular basis over the telephone and in person from office visits dealing with all facets of the EMS billing department.

KNOWLEDGE, SKILLS, ABILITIES AND TRAINING:

• Proficient in Microsoft 365 to complete work assignments.
• Knowledge of general office procedures;
• Ability to operate office equipment (fax, copier, mail, etc.);
• Excellent communication, organization and problem-solving skills required;
• Must be comfortable discussing money and financial matters with patients/payors in a professional manner;
• Must be able to perform in a team environment;
• Must be able to navigate and competently use a full computer key board and 10-key numeric keypad to perform rapid and accurate data entry;
• The ability to speak clearly and calmly on the telephone and in person with angry or upset customers is required;
• Excellent organizational skills and attention to detail and accuracy is required;
• Excellent verbal communications skills;
• Ability to answer common inquiries and complaints from employees, customers, agencies, facilities and hospitals.
• Ability to work in a shared office space with a moderate noise leveled environment and multiple personnel.

HIRING PROCESS: 

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  • Exclusion list verification
  • Skills test(s)
  • Panel Interview
  • Submission and review of the following items:

• Memorandum of Interest
• Resume
• Transcripts and/or Certifications

Please direct questions regarding this position to hr@waltonso.org

Jobs close at 11:59 PM (Eastern) on the deadline date specified, or when the position capacity has been met, or unless otherwise specified in the announcement. If the deadline date is not specified in the announcement, the agency has sole discretion on setting the deadline and jobs may close without notice. It is the applicant's responsibility to thoroughly read and understand the deadline requirements and capacity limits as outlined by the agency.

Applicants are responsible for checking their email and logging into their PoliceApp, PublicSafetyApp, FireFighterApp or EmployementApp account to monitor for emails, scheduling and process updates.