MTI Ambulance
Role Summary
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.
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
2–3 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 IDC-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.
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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
2–3 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 IDC-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.
#J-18808-Ljbffr