Location: Terre Haute, IN
Department: Billing & Revenue Cycle
Position Type: Full-Time
Reports To: Billing Manager
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.
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.
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
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
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
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
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:
Knowledge of Medicare/Medicaid rules in IN, KY, and OH
Experience with appeals and complex denial resolution
Medical coding knowledge or certification
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.
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