Billing & Contract Specialist

Job Summary

A company is looking for a Billing & Contract Specialist to manage EMS and Transfer related authorizations, billing, and records management.

Key Responsibilities

• Manage pre-certification and prior authorization processes for patient encounters
• Resolve denied claims and audit transportation invoices for service levels and medical necessity
• Oversee EMS agency billing activities and maintain departmental records

Required Qualifications

• 2-3 years of EMS registration coding and billing experience
• 2-3 years of insurance authorization experience
• Understanding of third-party reimbursement methodologies and regulations
• Working knowledge of MS Excel and proficiency in various PBS applications
• High School Diploma required; CHAA certification required within the first year