Billing Representative Job at Trans-Care Ambulance, Terre Haute, IN

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  • Trans-Care Ambulance
  • Terre Haute, IN

Job Description

Ambulance Billing Specialist – Claims Follow-Up, Appeals, Denials & Coding

Location: Terre Haute, IN
Department: Billing & Revenue Cycle
Position Type: Full-Time
Reports To: Billing Manager

About Us

We are a fast-growing, multi-state ambulance service providing emergency and non-emergency medical transportation across Indiana, Kentucky, and Ohio. As we expand our billing department, we are adding multiple roles focused on high-quality reimbursement, compliance, and exceptional revenue-cycle performance.

Position Overview

We are seeking detail-oriented Ambulance Billing Specialists to join our Billing & Revenue Cycle team. These positions will focus on claims follow-up, appeals, denials management, and medical coding for both emergency and non-emergency ambulance claims. The ideal candidate is organized, analytical, and comfortable navigating complex payer requirements across Medicare, Medicaid, commercial insurance, and Medicaid managed care organizations.

Key Responsibilities

Claims Follow-Up

  • Monitor unpaid, underpaid, or pending claims across all payers

  • Contact insurance carriers to determine claim status and resolve outstanding issues

  • Document all follow-up activity in the billing system

  • Identify trends in payer delays or processing errors

Appeals & Denials

  • Review explanation of benefits (EOBs), remittance advice (ERA), and denial codes

  • Research payer policies to determine proper appeal strategy

  • Prepare and submit written appeals for medical necessity, coding issues, eligibility, benefit coverage, and other denial categories

  • Track and escalate appeal outcomes as necessary

Coding & QA

  • Review EMS run reports (ePCRs) for accuracy, completeness, and compliance

  • Assign appropriate CPT/HCPCS codes and ensure correct modifiers 

  • Verify and apply ICD-10 diagnosis codes based on documentation

  • Communicate with crews or supervisors regarding missing or incomplete documentation

  • Ensure compliance with Medicare, Medicaid, state EMS regulations, OIG guidelines, and payer-specific policies

General Billing Responsibilities

  • Process corrected claims and resubmissions

  • Work collaboratively with pre-billing, QA, payment posting, and collections staff

  • Maintain strict confidentiality and HIPAA compliance

  • Meet departmental productivity and accuracy standards

Qualifications

  • Required:

    • Strong attention to detail and problem-solving skills

    • Proficiency with computers, including but not limited to: Microsoft Office 365, navigating insurance websites, and the ability to learn our billing software. 

    • Ability to communicate professionally with payers and internal teams

     

  • Preferred:

    • 1+ year of medical billing, ambulance billing, or healthcare revenue cycle experience
    • Knowledge of Medicare/Medicaid rules in IN, KY, and OH

    • Experience with appeals and complex denial resolution

    • Medical coding knowledge or certification 

Work Environment & Benefits

  • In Office Monday–Friday schedule. This is not a remote position. 

  • Supportive, team-oriented environment

  • Competitive compensation based on experience

  • Full benefits package including health insurance, 401K, vacation, PTO and paid holidays. 

Job Tags

Full time, Work at office, Monday to Friday,

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