Ambulance Billing Specialist

SUMMARY: The Ambulance Billing Specialist is responsible for the accurate and timely processing of insurance claims within the healthcare and Emergency Medical Services (EMS) environment. This role focuses on revenue cycle support through compliant billing, proactive follow-up on outstanding accounts, and resolution of claim denials. Working independently in a fully remote setting, Ambulance Billing Specialist ensures claims are submitted correctly, payments are maximized, and payer requirements are consistently met.

Responsibilities:

• Prepare, review, and submit accurate insurance claims for EMS services in accordance with federal, state, and payer-specific regulations.
• Review patient records and EMS documentation to ensure completeness and accuracy prior to claim submission.
• Verify insurance eligibility and coverage to reduce denials and billing delays.
• Monitor and follow up on unpaid, rejected, and denied claims; correct errors; resubmit and appeal as appropriate.
• Communicate professionally with insurance carriers to resolve billing issues and requests for additional information.
• Maintain detailed electronic records of claims, payments, adjustments, and outstanding balances.
• Accurately enter and manage billing data within electronic billing systems, spreadsheets, and EHR platforms.
• Generate billing, accounts receivable, and revenue reports as requested by leadership.
• Maintain strict HIPAA compliance and confidentiality of all patient and company information.
• Stay current on EMS billing regulations, payer policy updates, and internal process changes.
• Adhere to all company policies, procedures, productivity standards, and deadlines while working remotely.
• Acts with integrity, honesty, and skill to promote the departmental mission and values of Excelsior Ambulance Service.

Minimum Required Qualifications:

• Residency in Alabama, Florida, Georgia, or South Carolina is required. This position also requires strict adherence to a Monday–Friday schedule, 8:00 AM to 5:00 PM EST.
• High school diploma or equivalent. 
• Minimum of one year of healthcare or EMS billing experience.
• Working knowledge of medical billing processes, insurance guidelines, and claim follow-up.
• Proficiency with Microsoft Office, Google Workspace, and spreadsheet applications.
• Experience using billing software and electronic health record (EHR) systems.
• Excellent attention to detail with strong organizational and time management skills.
• Ability to work independently in a remote environment with minimal supervision.
• Strong written and verbal communication skills.
• Proven dependability and ability to manage multiple priorities.
• Reliable internet connection and ability to maintain a secure remote workspace.

Preferred Qualifications:

• Certification in medical billing or coding (CAC, CPB, CCS, or equivalent).
• Experience billing Medicare, Medicaid, and commercial insurance plans.
• Prior remote healthcare billing experience.
• Advanced proficiency in billing platforms, reporting tools, and data analysis.

Benefits:

• 100% Employer-Paid Medical Insurance
• Supplemental Ancillary Benefits (Dental, Vision, Life Insurance, and more)
• Paid Holidays
• Paid Time Off (PTO)
• Sick Pay
• 401(k) Retirement Plan