[Hiring] Pre-Billing Specialist @RESOURCE MANAGEMENT SYSTEMS INC

Role Description

Responsible for pre-billing processes for Ambulance Billing Network LLC and its clients. Under the direct and indirect supervision of the Billing Supervisory, Manager and President, the Pre-Billing Specialist completes initial processes required to prepare ambulance claims to be coded. This includes but is not limited to:

• Patient demographics
• Insurance verification
• Billing authorization
• Review of physician certification statements

Essential duties and responsibilities include:

• Promotes, develops, and fosters the mission, vision, and values of Ambulance Billing Network LLC.
• Provides the highest level of customer service to a wide variety of internal and external customers.
• Manage and maintain Ambulance Billing Network pre-billing process:
• Verify completion of run reports daily and from the previous weekend.
• Verify patient demographics, personal insurance information and completion of all required signatures.
• Identify and separate ambulance runs into the type of billing necessary to expedite payment.
• Enter necessary patient information into the billing system.
• Identify and file probates, if necessary, with various county courthouses.
• Assist customers with account information.
• Work with Zoll RescueNet to ensure the most efficient billing process.
• Directs patient complaints to the Billing Manager for completion and filing.
• Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment with the mission and values of Ambulance Billing Network LLC.
• Creates and maintains billing and accounting policies and procedures along with and under the direction of the Billing Manager and President.
• At the end of 90 days of employment a Pre-Billing Specialist must be able to pre-bill 10-13 claims per hour with a minimum of 95% accuracy in the claims.
• Performs other duties as assigned.

Qualifications

• High School Graduate/GED (Required)
• Ambulance Industry experience (Desired)
• Medical terminology knowledge (Desired)
• Insurance industry experience (Desired)

Requirements

• Strong written and verbal communication skills.
• Team player with the ability to work independently.
• Detail oriented with good follow-up.
• Excellent organizational skills, demonstrated initiative, good judgment, and flexibility.
• Demonstrates effective communication skills and effectively fosters relationships with others.
• Approaches change as an opportunity for growth and development in self and others.
• Fosters a commitment and understanding of the Ambulance Billing Network LLC mission, vision, and values.
• Provides the highest level of customer service to a wide variety of internal and external customers.

Working Environment

Materials and Equipment Used:

• Desktop computer
• Multi-line telephone
• Fax, Copier, Printer
• Other standard office equipment

Required Shifts/Schedule:

• Hours must be flexible to meet the demands of the office, but would generally be 7:30am-5:00pm, Monday through Friday.

General Environment:

• A fast-paced environment with multi-tasking, prioritizing, and frequent interruptions.
• Continuous interpersonal communication required with managers, staff, patients, EMS personnel, and the general public.