Ambulance Billing Specialist
On-siteLos Angeles, California, United States
Job Summary
Manage the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up. Submit clean, accurate ambulance claims in a timely manner while ensuring compliance with CMS guidelines and reviewing documentation for medical necessity, PCS forms, narratives, and mileage. Resolve denials and underpayments, prepare appeals, and post reconciled payments. Identify denial trends, communicate with operations on documentation deficiencies, and track billing KPIs. Assist with audits and payer reviews. This role protects revenue and improves cash flow within a high-volume non-emergent transport environment in California.
Required Qualifications
- Minimum 2–3 years of ambulance billing experience
- Strong knowledge of Medicare ambulance billing guidelines
- Strong knowledge of Medi-Cal and managed care plans
- Strong knowledge of Levels of Service Billing requirements
- Strong knowledge of PCS forms and medical necessity documentation
- Strong knowledge of 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
- Ambulance-specific billing experience
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