• Receives payment for County Ambulance services from individual service users and insurance companies; issues receipt for the same.
• Collects, compiles and documents information related to Ambulance accounts;
• Uses Explanation of Benefits (EOB's) to record payment, non-payment and explanations; copy documents and file; distributes EOB and letters.
• Download and review ambulance patient care reports for accuracy and completeness; determine appropriate charges, billing codes, and enter into system to bill appropriately.
• Perform accurate clerical and accounting duties related to ambulance billing accounts;
• Calculate ambulance charges and enter master and detail information to include various trip charges.
• Accurately enter payments and apply insurance adjustments to accounts.
• Perform accounting adjustments and refunds;
• Process requisitions for refund of patient/insurance overpayment in accordance with County Accounts Payable policies and procedures.
• Balance daily payment and adjustment reports.
• Reconciles daily and monthly financial reports to balance to County’s General Ledger.
• Perform necessary procedures to collect payment on accounts.
• Process collection of delinquent accounts according to procedures established; prepare and submit delinquent accounts to a collection agency as assigned.
• Prepare and submit electronic insurance claims and process various insurance forms. Rebill and/or appeal insurance claims as needed.
• Initiate telephone, email and written correspondence with patients, medical providers, and insurance companies to verify information.
• Respond to billing inquiries with confidence and professionalism; perform research into issues as required.
• Produce and process automated billing invoices according to established timelines. Answer phones, provide assistance, and resolve complaints as necessary; provide technical interpretation, information and communication to patients.
• Ensure efficient workflow and office operations; accurately maintain patient healthcare information according to procedure and HIPAA compliance.
• Compile ambulance account information as needed, including detailed reports for management.
• Prepares and distributes monthly Ambulance reports regarding monies received, refunded, billed out, etc.
• Complete provider enrollments for multiple insurances when necessary.
• Must stay current on medical terminology, ICD10 codes and insurance company rules and regulations.
• Keeps immediate supervisor and designated others fully and accurately informed concerning work progress and offers suggestions for new or improved ways of addressing procedures for efficiency.
• Perform other duties as assigned.

• General office practices and procedures;
• HCPC and ICD10 codes;
• Modern office practices, procedures and collection of delinquent accounts;
• Medical terminology, abbreviations and billing codes;
• Insurance policies and procedures concerning ambulance billing;
• Medicare and Medicaid billing and coding procedures;
• Interpersonal communication skills and etiquette;
• Standard computer software applications.

• Organize communication obtained from multiple sources;
• Correlate and verify forms and documentation;
• Identify and trouble shoot inconsistencies to resolve identified problems;
• Enter data proficiently and without error;
• Maintain confidentiality of information and records according to HIPAA compliance regulations;
• Perform complex mathematical calculations;
• Communicate effectively with frequent interruptions;
• Plan, organize, prioritize work assignments; display an attitude of cooperation and work harmoniously with other employees and the general public;
• Complete assignments in a timely fashion; understand and respond to queries related to ambulance billing policies, procedures and ambulance billing codes.
• Maintain prompt and regular attendance;
• Perform all essential and marginal functions; work confidentially with discretion.
• Ability to work independently with little direction.
• Maintain professional working relationships with other County employees, supervisory personnel, state and local elected officials and the public;
• Operate a personal computer using standard or customized software applications appropriate to assigned tasks;
• Make sound and reasonable decisions in accordance with laws, ordinances, regulations and established procedures;
• Must be able to pass background and drug test.

• High school diploma or equivalent general educational development (GED) certification; and
• At least two years previous office experience performing administrative duties; and
• Minimum 2 years’ experience in medical billing, coding and/or medical terminology; or
• Any equivalent combination of experience and training which provides the knowledge and abilities necessary to perform the work.
• Medical Coding certification or degree is preferred.

• Valid Idaho Driver’s License
• Must have basic knowledge of Emergency Medical Services and ICD10 coding.
• Must stay current on medical terminology, ICD10 codes and insurance company rules and regulations.

WORK ENVIRONMENT AND PHYSICAL DEMANDS

• Sufficient clarity of speech and hearing or other communication capabilities, with or without reasonable accommodation, which permits the employee to communicate effectively;
• Sufficient vision or other powers of observation, with or without reasonable accommodation, which permits the employee to establish, maintain and prepare various written records, permits, correspondence and other documents;
• Sufficient manual dexterity with or without reasonable accommodation, which permits the employee to operate computer equipment, ten key calculator and other office equipment;
• Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, which permits the employee to work in an office setting.

DISCLAIMER:

To perform this job successfully, an individual must be able to perform the essential functions satisfactorily with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of individuals in the job. This job description is not an employment agreement and/or an expressed or implied employment contract. Management has the exclusive right to alter this job description at any time without not