Job Description

About Us

Paramedic Services of Illinois is dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture centers on the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect.

Overview

The Ambulance Billing Specialist is responsible for managing the full lifecycle of ambulance claims, with an emphasis on accurate payment posting, resolution of insurance and patient claim denials, and applying basic medical coding knowledge to ensure compliance and maximum reimbursement. This role requires strong attention to detail, excellent problem-solving skills, and familiarity with EMS/ambulance billing practices.

Responsibilities

• Review, prepare, and submit ambulance transport claims to Medicare, Medicaid, commercial insurance, and other payers.
• Verify patient insurance coverage, eligibility, and benefits for EMS transport services.
• Apply appropriate ambulance/EMS HCPCS, CPT, and ICD-10 codes to ensure clean claims submission.
• Post electronic remittance advices (ERAs), explanation of benefits (EOBs), and patient payments accurately into the billing system.
• Reconcile daily deposits to posted payments for accuracy and completeness.
• Identify payer trends in underpayments or misapplied payments.
• Research and resolve claim denials, rejections, and underpayments.
• Prepare and submit corrected claims, appeals, or additional documentation as required by payers.
• Track and follow up on outstanding or appealed claims until resolved.
• Communicate effectively with payers, patients, and internal staff regarding claim status.
• Maintain compliance with HIPAA, CMS, and state-specific EMS billing regulations.
• Document billing activities and maintain accurate records for auditing purposes.
• Generate and review aging reports, denial reports, and payment posting summaries.

Required Qualifications & Skills

• Ambulance billing experience is a must.
• 5+ years of experience in ambulance/EMS billing, medical billing, or revenue cycle management.
• Working knowledge of ambulance-specific coding (HCPCS Level II, CPT, ICD-10).
• Proficiency in claim denial resolution, payment posting, and payer follow-up.
• Familiarity with clearinghouses, ERAs, and electronic billing software.
• Strong attention to detail, organizational skills, and ability to work independently.

Preferred Qualifications

• Certified Ambulance Coder (CAC), Certified Professional Coder (CPC), or other revenue cycle certification.
• Experience with EMS billing software (e.g., Zoll Billing).
• Knowledge of Medicare, Medicaid, and Illinois-specific ambulance billing guidelines; knowledge of other state-specific guidelines is a plus.

Work Environment & Benefits

• Employment Type: Full-time, 34-hour work week. On-Site.
• Compensation: From $26/hour. Competitive hourly pay based on experience.
• Benefits: Health, dental, vision, 401(k), paid time off, professional development opportunities.

Company Culture: At Paramedic Services of Illinois, our company culture is built on compassion, professionalism, and teamwork. For 50 years, we have been committed to creating a supportive and inclusive work environment where every team member is valued and respected. Our philosophy extends not only to our patients but also to our employees, who play a vital role in fulfilling our mission of providing exceptional emergency medical care to our communities.

Join our team at Paramedic Services of Illinois and be part of a company that truly cares about its employees and the communities we serve.

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