Presbyterian Healthcare Services · 21 hours ago
Ambulance Revenue Cycle Specialist
United States
Full-time
Remote
Entry Level
2+ years expPresbyterian Healthcare Services is a not-for-profit healthcare system dedicated to improving the health of communities in New Mexico. They are seeking an Ambulance Revenue Cycle Specialist to manage accounts receivable, ensuring timely and accurate reimbursement for ambulance services while adhering to compliance regulations.
AssociationHealth Care
Responsibilities
The Ambulance Revenue Cycle Specialist I follows-up, collects, and resolves all outstanding accounts receivable
Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities; Meets established guidelines to ensure timely and accurate reimbursement for all billed charges
Analyzes and validates accuracy of all accounts with credit balances to determine whether payments and allowances posted are accurate according to contractual agreements and determines if a refund, adjustment, or appeal is required to resolve/close the account
Adheres to compliance and regulatory rules and regulations as mandated by CMS including researching and resolving outstanding or unbilled claims
Communicates information received from the Fiscal Intermediary, Carrier, and all other insurers regarding policies and procedures as they apply to claims billing and adjudication
Meets time guidelines to ensure timely and accurate reimbursement for all billed charges
As an expert in the ambulance revenue cycle field, actively participates in the training and education of peers and those outside the department
Performs accounts receivable follow-up activities for their assigned payers/accounts using daily aged account work queues and/or A/R reports
Responsible for contacting insurance companies, patients, and employers regarding outstanding ambulance claims
Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims
Must maintain a system to ensure timely follow-up is completed for each outstanding claim
Maintain workflow consisting of outstanding accounts assigned
Responsible for following-up on all accounts listed in the workflow until resolved
Refer accounts to Supervisor for write-off, agency, or attorney referral
Must work closely with all outside agencies contracted and assist them with account resolution for any accounts assigned to them by ARC Supervisor or Manager
Performs accounts receivable credit balance reimbursement analysis to determine if reimbursement, allowances, and patient payments received are correct
Responsible for contacting insurance companies, patients, employers, etc. to resolve any over payment issues that require their assistance
Qualification
Required
Excellent organizational, problem solving, verbal, written communication, and ability to interact with other functional areas required
Demonstrated ability to work effectively in a team environment
Must be able to prioritize and manage a high volume workload
Knowledge of ICD9/ICD10 and HCPCS
Preferred
High School education (G.E.D.) with a minimum of two (2) years experience in admissions, medical claims processing, insurance billing, claims follow-up, or collections preferred
Six-months to one-year experience in a computerized accounts receivable system preferred
Short-term training in business office process and procedures preferred
PC experience with Microsoft Office Word and Excel
Benefits
Medical
Dental
Vision
Short-term and long-term disability
Group term life insurance
Other optional voluntary benefits
Company
Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities they serve.
10001+ employees
H1B Sponsorship
Presbyterian Healthcare Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (86)
2023 (85)
2022 (93)
2021 (86)
2020 (76)
Funding
Current Stage
Late StageLeadership Team
Dale Maxwell
President and CEO
Ernest Sanchez
Chief Technology Officer
Recent News
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