Ambulance Billing Specialist We are a growing ambulance company providing non-emergent transports in California. We operate in a high-volume environment and are seeking an experienced ambulance biller who can manage the full revenue cycle. This role is designed for someone who takes ownership of A/R, understands payer rules, and is accountable for results.
Role Summary: The Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up. This position plays a critical role in protecting company revenue and improving cash flow.
Key Responsibilities:
  • Submit clean, accurate ambulance claims in a timely manner
  • Ensure compliance with CMS ambulance billing guidelines
  • Review documentation for medical necessity, PCS forms, narratives, and mileage
  • Manage accounts receivable and aggressively follow up on unpaid claims
  • Resolve denials, underpayments, and rejections
  • Prepare and submit appeals as needed
  • Post and reconcile payments accurately
  • Identify trends in denials and underpayments and recommend corrective actions
  • Communicate with operations and dispatch regarding documentation deficiencies
  • Track and report billing KPIs, including clean claim rate and A/R aging
  • Assist with audits, payer requests, and compliance reviews
Required Qualifications: (Non-Negotiable) Minimum 23 years of ambulance billing experience Strong knowledge of Medicare ambulance billing guidelines, Medi-Cal and managed care plans, Levels of Service Billing requirements, PCS forms and medical necessity documentation, Modifiers, base rates, and mileage billing, Strong working knowledge of ICD-10 diagnosis codes Proven experience with denial management and appeals Ability to independently manage A/R and follow-ups High attention to detail and strong organizational skills Applicants without ambulance-specific billing experience will not be considered.

Also on the board Same function, level within a rung

Level

Senior

Location

Los Angeles, CA

Occupation

Billing and Posting Clerks

Industry

Ambulance Services

Posted

today

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