Billing Specialist- Full Time

CATALDO AMBULANCE BUSINESS TRUST - Somerville, MA

Full-time - Entry Level

Somerville, MA

About the position

The Billing Specialist at Cataldo Ambulance is responsible for managing the billing of ambulance claims, ensuring accuracy and compliance with healthcare regulations. This role requires strong organizational skills, attention to detail, and the ability to work independently in a fast-paced environment while providing excellent customer service to patients and healthcare providers.

Responsibilities

• Accurately assign appropriate codes to ambulance services based on documentation and coding guidelines.
• Ensure timely and accurate submission of claims to insurance providers and other payers.
• Review and correct any billing errors to minimize claim denials.
• Review and monitor status on submitted claims to ensure the claims have been successfully received by the payors.
• Contact healthcare providers to obtain necessary documentation or clarification regarding claims.
• Update patient accounts and follow up with patients regarding outstanding balances or insurance coverage.
• Stay current with healthcare regulations and guidelines related to medical claims.
• Provide excellent customer service to patients, healthcare providers, and insurance companies.
• Perform additional assignments and special projects based on business need at the direction of the Manager.

Requirements

• High school diploma or GED
• Minimum of 2 years of experience in ambulance claims billing, medical claims processing or related field
• Knowledge of medical terminology, CPT/HCPCS codes, and ICD-10 coding
• Understanding of insurance coverages, fee schedules, and regulations
• Proficiency in Microsoft Office and experience using healthcare billing software
• Strong attention to detail and ability to multitask in a fast-paced environment
• Excellent written and verbal communication skills
• Ability to work independently and as part of a team
• Customer service mindset and ability to handle sensitive or confidential information
• Adaptability and a willingness to take on additional tasks and responsibilities as needed.

Nice-to-haves

• Knowledge of international payment and invoicing processes is a plus.