Billing Specialist

Job Description

billing specialist

Salary Range: $23.86

Department: Billing Department

Location:  Billing Office (In-Person)

Reports to:  Billing Manager

Position Summary

The Billing Specialist plays a vital role in ensuring accurate and efficient billing operations. This position is responsible for processing field documentation, verifying coverage eligibility, and preparing claims for submission to appropriate payors. Key responsibilities include reviewing medical documentation for accuracy and compliance, maintaining account follow-ups, and assisting with payment arrangements as needed. Strong attention to detail and effective communication skills are essential for resolving billing inquiries and supporting financial operations. This role contributes to maintaining the organization’s financial integrity and delivering high-quality service to stakeholders.

Essential Job Functions

• Verify patient demographics.
• Research unidentified customers to whom services were provided.
• Establish proper paying party and verify coverage eligibility.
• Research claim to complete documentation.
• Make pay-source changes and add proper information.
• Data enter information changes as required.
• Check documentation for medical justification.
• Complete medical justification documentation.
• Establish proper pricing for procedures completed.
• Prepare documentation for mailing or electronic submission.
• Follow-up and Review accounts assigned.
• Assist customers requiring payment schedules or bill explanation.
• Responsible for all verbal and written billing inquiries.
• Acquire authorization, verification, and purchase orders from third party payors.
• Arrive to all work assignments on time, in appropriate attire.
• Maintain regular attendance.
• Accurately completes all paperwork and computerized records.
• Promote good morale by exhibiting exemplary conduct, a positive attitude, and support for all personnel and American Ambulance.
• Notify other department supervisors of potentially inappropriate activities exhibited by other employees.
• Assure all safety rules and guidelines are followed.
• Attend all meetings as required.
• Responsible for proper use of all facilities and equipment, used or issued.
• Responsible to return all issued equipment in working condition at the end of employment or when requested.

Secondary Job Function

• Collaborate with the Billing Office Manager or Billing Office Supervisor to ensure cross-training and mutual understanding of key functions, providing coverage and continuity during absences or high-demand periods.
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with notice.

Qualifications

• High School diploma or GED.                   
• One year of work experience in an office setting
• Basic computer skills.
• Good organizational skills.
• Good verbal, written, and reading comprehension skills.
• Two years of medical billing experience/education (preferred).

Key Competencies

• Sentinel     > 1 missing ticket at month end
• Sentinel     Any ended account or account at 120 days
• Frequency  Keying errors
• Frequency  Adjusted collection rate
• Frequency  Pay source changes > 10%
• Frequency  Data entry time

Financial Authority

• May requisition supplies through the employees immediate supervisor
• May not purchase or authorize purchase of inventoried items.
• May authorize payment plans of patient’s account up to 18 months without interest.
• May not make contracts on behalf of the company.

Human Resources Authority

• May not request or approve the hiring of employees.
• May not discipline employees.

Communications Authority

• May not release employee-related information.
• May release call related information with proper authorization.
• May not release Company information.
• May use Company letterhead only for business related matters.
• May not communicate to the media.

Equipment Demands

• This job operates in an office environment.  This position routinely uses standard office equipment such as computers, phones, copiers and fax machines.

Emotional Demands

• Work with many different agencies.
• Work with the public.
• Work with tight deadlines under pressure.
• Work with frequent interruptions.
• Professional appearance and conduct.
• Excellent customer service skills.
• Good organizational skills.
• Maintain confidentiality with privileged information.

Physical Demands

• Must be able to sit for prolonged periods, typically 6-8 hours per day, with occasional standing or walking required.
• Must be able to lift up to 20 pounds.
• Must be able to type at a minimum of 40 words per minute.

Environmental Demands

• This position operates indoors in an office environment with moderate noise levels.

Position Type/Expected Hours of Work

This is a full-time position.  Days and hours of work are expected to be normal business hours.  Occasional evening and weekend work may be required as job duties demand.

Travel

There may be occasional travel for conferences, seminars and training.

At-Will Employment Disclosure

Employment with American Ambulance is at-will, meaning that either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice, and for any lawful reason or no reason at all. Nothing in this job description, employee handbook, or any other company document should be interpreted to create a contract of employment, express or implied, or alter the at-will nature of employment. Only a written agreement signed by the President can change the at-will status of employment.

Reasonable Accommodations

American Ambulance is committed to providing equal employment opportunities to qualified individuals with disabilities. If you require accommodations during the application or interview process, or to perform essential job functions, please contact hr@americanambulance.com. We will work with qualified individuals to provide reasonable accommodations unless doing so would cause an undue hardship to the company or pose a direct threat to the health or safety of the employee or others.

Supervises                   None

Classification               Non-exempt

Effective Date              October 1, 2017

Updated                      September 01, 2026