Pafford Medical Services
No Surprises Act (NSA) Air Ambulance Billing Specialists
Pafford Medical Services, Hope, Arkansas, United States, 71801
No Surprises Act (NSA) Air Ambulance Billing Specialist
Title:
Air Ambulance Billing Specialist (No Surprises Act)
Location:
Pafford Medical Services, Hempstead County, Arkansas
Job ID:
2591
Summary:
The No Surprises Act (NSA) Air Ambulance Billing Specialist ensures full compliance with the No Surprises Act for air ambulance services. This role manages billing, reimbursement, patient communications, and dispute resolution processes related to out-of-network air ambulance claims.
Key Responsibilities:
Ensure compliance with the No Surprises Act and related federal and state regulations for air ambulance billing.
Review air ambulance claims to identify NSA applicability and proper patient cost-sharing limitations.
Prepare, submit, and track claims to commercial payers, government payers, and third-party administrators.
Manage the Independent Dispute Resolution (IDR) process, including documentation, submissions, deadlines, and follow-up.
Communicate with insurance carriers regarding payment determinations, negotiations, and appeals.
Respond to patient inquiries regarding surprise billing protections and billing statements.
Coordinate with internal teams (billing, coding, legal, compliance, and clinical operations) to resolve claim issues.
Maintain accurate documentation and audit trails for compliance and reporting purposes.
Monitor regulatory updates and payer policy changes affecting air ambulance reimbursement.
Assist with internal audits, reporting, and compliance reviews related to NSA billing.
Skills & Competencies:
Strong attention to detail and accuracy.
Excellent written and verbal communication skills.
Ability to interpret complex regulations and payer policies.
Effective time management and deadline tracking.
Professional and empathetic patient communication.
Ability to work independently and collaboratively.
Seniority level:
Entry level
Employment type:
Full-time
Job function:
Other
Industries:
Medical Practices
EEO Statement:
Pafford Medical Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status.
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Air Ambulance Billing Specialist (No Surprises Act)
Location:
Pafford Medical Services, Hempstead County, Arkansas
Job ID:
2591
Summary:
The No Surprises Act (NSA) Air Ambulance Billing Specialist ensures full compliance with the No Surprises Act for air ambulance services. This role manages billing, reimbursement, patient communications, and dispute resolution processes related to out-of-network air ambulance claims.
Key Responsibilities:
Ensure compliance with the No Surprises Act and related federal and state regulations for air ambulance billing.
Review air ambulance claims to identify NSA applicability and proper patient cost-sharing limitations.
Prepare, submit, and track claims to commercial payers, government payers, and third-party administrators.
Manage the Independent Dispute Resolution (IDR) process, including documentation, submissions, deadlines, and follow-up.
Communicate with insurance carriers regarding payment determinations, negotiations, and appeals.
Respond to patient inquiries regarding surprise billing protections and billing statements.
Coordinate with internal teams (billing, coding, legal, compliance, and clinical operations) to resolve claim issues.
Maintain accurate documentation and audit trails for compliance and reporting purposes.
Monitor regulatory updates and payer policy changes affecting air ambulance reimbursement.
Assist with internal audits, reporting, and compliance reviews related to NSA billing.
Skills & Competencies:
Strong attention to detail and accuracy.
Excellent written and verbal communication skills.
Ability to interpret complex regulations and payer policies.
Effective time management and deadline tracking.
Professional and empathetic patient communication.
Ability to work independently and collaboratively.
Seniority level:
Entry level
Employment type:
Full-time
Job function:
Other
Industries:
Medical Practices
EEO Statement:
Pafford Medical Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status.
#J-18808-Ljbffr