Implement and/or assist/manage internal billing process and procedures Implement and/or assist/manage processes for verification of patient benefits Manage staff in the Billing department (including billing, follow-up, collections, customer service team members) Be responsible for preparation of invoices and 1500 forms Prepare and submit clean claims in various methods (e.g., electronically, paper, online) Identify and resolve patient billing complaints Coordinate collection of needed insurance documents for billing Rebill insurance companies or other third parties to secure payment for patients Follow-up and report status of delinquent accounts Review accounts for possible assignment and makes recommendations Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers Establish payment plans to help patients manage payment of bills Send delinquent accounts to collection agencies Respond to patient billing and statement inquiries Prepare Health Insurance analysis reports on a weekly basis Make recommendations to management for write-offs Execute approved write-offs Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations Additional duties as outlined by the Revenue Cycle Director or CRO Adhere and follow Billing Service Level Agreement with the Operation Required Qualifications: 3-5 years of experience Strong knowledge of various payers Proficient in MS Office, including intermediate experience in excel Knowledgeable on ICD-10 and CPT codes Must be available after hours Familiar with standard concepts, practices, and procedures Works under general supervision. A certain degree of creativity and latitude is required Strong accounting skills Commitment to excellence and high standards Ability to prepare reports and business correspondence in a professional manner Ability to understand and follow written and verbal instructions Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow Ability to work independently and as a member of various teams and committees Ability to work in a fast-paced environment Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm Time management skills as related to daily schedules and productivity Ability to type 45 wpm Excellent interpersonal and communication skills Preferred Qualifications: Thorough knowledge of ambulance transport documentation Extensive knowledge of ICD-10 and Condition Codes Ability to collect for healthcare claims from Medicare/ Medicaid, commercial insurance, contracted facilities, and individuals Understand Medicare and Medicaid regulations and guidelines Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred Familiarity with medical terminology Ability to interpret EOB (Explanation of Benefits) Familiarity with Microsoft Office Suite Working knowledge of Zoll Data Systems Bachelor's Degree or equivalent experience