Emergency Services Billing Analyst

• Coordination and implementation of Emergency Medicine Services (EMS) billing and regulatory compliance activities
• Coordination of all aspects of EMS and regulatory / billing compliance requirements
• Training of EMS staff to ensure regulatory and / or billing compliance
• Ensure that the EMS staff are appropriately training in the required aspects and are operating effectively
• Coordinate and implement all Emergency Medical Services (EMS) billing and regulatory compliance activities.
• Ensure quality and accuracy of EMS billing processes and compliance requirements.
• Train EMS staff on all regulatory billing and documentation requirements; ensure staff are operating effectively and meeting standards.
• Prepare and deliver all required month end reporting including but not limited to:
  • 001P Excel Version Executive Summary Reports (ESR)
  • 0366 Finance Officer Summary (EFO)
  • 0365 Administrator Summary (EFA)
  • Client Run Reconciliation reports for all transports exported from Image Trend
  • Revenue distribution by level of service (LOS)
  • Reports of all charges receipts provider affiliation vehicle affiliation and ownership/maintenance
• Compile and maintain a list of denied claims and corresponding payer denial descriptions.
• Generate report suites showing all imported transports and their current billing/coding status.
• Monitor and return transports missing required coding or billing elements.
• Send deposit logs to PGFD for all revenue posted to Lockbox EFT refunds and VA.
• Analyze LOS performance and payer mix to identify variances anomalies or trends.
• Monitor days in A/R and review account processing.
• Review all systematic and manually keyed write offs.
• Determine whether Courtesy Transports qualify for billing or must remain non billable.
• Ensure all client return corrections are processed for billing.
• Respond to incoming inquiries related to ambulance billing.
• Fulfill periodic requests for specialty EMS reports.
• Schedule and conduct an annual revenue performance meeting with the Fire Chief ESC ASC and EMS leadership.
• Ensure all provider and vehicle affiliations are correct and updated in all systems.
• Address data concerns related to revenue splits; work with VSC on anomalies and required corrections.
• Prepare and send refund packages with required supporting documentation.
• Maintain inventory process repair requests and provide PGFD with all damage reports.
• Ensure EMS software is current; manage updates small hardware issues and repair orders.
• Respond to questions about current status of ambulance transport run reports.
• Provide status updates for ambulance transports in EMS coding.
• Process requests for revenue information and reporting from MDIV.
• Provide copies of statements and information regarding patient communications when requested.
• Send monthly service fee invoices to [email protected].
• Process all Ambulance Billing mail received onsite and route accordingly.
• Ensure PGFD receives all EMS Billing updates and provide training when needed.
• Maintain billing operations during regular hours (0830-1700 Monday-Friday) following vendor holiday schedules.
• Travel between fire stations as needed

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience with medical/healthcare billing.
• 1+ years of experience in EMS and / OR Ambulance Revenue Cycle processes
• Experience with Microsoft Word (create correspondence and work within templates) Microsoft Excel (data entry sort / filter and work within tables) and Microsoft Outlook (email and calendar management)
• Must have a valid Driver's license
• Ability to work onsite at 9201 Basil Court Largo MD 20774
• Ability to travel up to 50% of the time (domestic)
• Ability to work Monday - Friday 08:30am - 05:00pm EST

• Experience with Medicare and Medicaid programs
• CAC Certified Ambulance Coder Certification

What We Do

Optum part of the UnitedHealth Group family of businesses is a global organization that delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best. Here you will find a culture guided by inclusion talented peers comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum we support your well-being with an understanding team extensive benefits and rewarding opportunities. By joining us you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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