Job Description

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

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Location:

Terre Haute, IN

Department:

Billing & Revenue Cycle

Position Type:

Full-Time

Reports To:

Billing Manager

About Us

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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

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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

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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
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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
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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
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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

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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

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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.