Fire Claims Billing Specialist

Founded in 2006, Emergicon has grown into the largest emergency medical billing company in Texas, serving fire departments and EMS agencies ranging from small rural operations to major Texas cities.  Emergicon and Emergifire operate from a “service-first” culture built on hard work, accountability, and kindness.

We are looking for an experienced Fire Claims Billing Specialist to join our team!  In this role, you will be responsible for end-to-end management of fire incident claims, including retrieving incident data, verifying and submitting claims to insurance carriers, processing payments, and ensuring timely follow-up, and meeting established production quotas.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Meet individual production targets for claims processing while maintaining accuracy and compliance.

•  Retrieve and review incident data from clients to ensure all necessary information is collected.

• Communicate effectively with insurance adjusters, insured drivers, and businesses to clarify information and facilitate claim processing.

•  Verify the accuracy and completeness of submitted claims prior to submission.

•  Enter, update, and maintain insurance policy and claim information in the company database.

•  Calculate, prepare, and submit accurate billing to insurance carriers promptly.

•  Process inspection and claim payments, including over-the-phone payments.

•  Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution.

•  Manage appeals and respond to denied claims as needed, providing supporting documentation.

•  Contact responsible parties and insurance companies regarding claims outstanding over 30 days.

•  Maintain accurate and organized records for all assigned accounts.

•  Assist with special projects and perform other duties as assigned.

EDUCATION AND EXPERIENCE

•  High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.

•  Minimum of one year of experience in fire incident claims processing or a related field required.

•  Familiarity with fire terminology and report structure required.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

•  Intermediate or higher proficiency in Microsoft Office (Excel, Outlook, Word).

•  Strong customer service skills and professional demeanor.

•  Excellent verbal and written communication skills.

•  High level of accuracy and attention to detail.

•  Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

•  Strong organizational and time management skills.

BENEFITS:

Emergicon invests in its people with a full benefits package: health insurance, dental, vision, life insurance, 401(k) retirement plan, and short-term disability and critical illness coverage.

Offer of position in contingent on passing a pre-employment background check and drug screening.

With a close-knit "One Team. One Sound." culture, Emergicon offers real room to grow for people who want to make an impact in the EMS industry.