Job Purpose
Ambulance Billing Representative: Ensures proper revenue recovery for EMS services by coding, billing, and processing claims.
Ambulance Billing Coder: Converts patient care documentation into standardized codes for insurance claims and databases.
Key Responsibilities
Patient Information Entry: Input health data into billing systems (e.g., TriTech, ZOLL Web PCR).
Medical Coding: Assign ICD-10 and HCPCS codes based on patient care reports.
Billing & Claims: Submit claims electronically, print/mail billing statements, and follow up on payments.
Insurance Coordination: Determine primary/secondary payers, comply with Medicare/Medicaid rules.
Denials & Appeals: Process rejected claims, initiate appeals, and resolve payment issues.
Cash Flow Management: Post payments, balance accounts, process refunds/write-offs, and manage aging reports.
Required Knowledge & Skills
Medical Terminology and general anatomy.
Coding Systems (ICD-10, HCPCS).
Healthcare Regulations: HIPAA, Medicare, Medicaid compliance.
Technical Skills: MS Word, Excel, typing speed (35+ wpm), 10-key proficiency.
Communication: Ability to interact with patients, payers, and insurance carriers professionally.
Education & Experience
Minimum Requirement: High School Diploma or GED.
Preferred: At least above 2 year of revenue cycle or medical billing experience.
Certifications: CPC (Certified Professional Coder) is often advantageous.
Pay: ₹35,000.00 - ₹50,000.00 per month
Benefits:
Work Location: In person