Billing, Clerk

Job Summary:

The Billing Clerk is a key contributor to the financial operations of LifeLine EMS. Responsible for processing primary, secondary, and electronic claims in the Rescue Net billing system, this role also includes the preparation and mailing of claims. This multifaceted position involves processing primary, secondary, and electronic claims in the rescue net billing system, overseeing the preparation and timely mailing of claims, and maintaining an efficient inventory system to ensure an adequate supply of essential resources. The Billing Clerk at LifeLine EMS is a key asset in maintaining the financial health of the organization. By combining technical expertise with organizational skills and a collaborative approach, this role plays an integral part in the accurate and efficient processing of claims, contributing to the overall success of the billing department.

Essential Functions:

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• Claims Processing: Execute the processing of primary, secondary, and electronic claims, demonstrating a comprehensive understanding of billing procedures and compliance standards.
• Timely Claim Preparation and Mailing: Prepare and mail claims in a timely manner to facilitate prompt reimbursement. This includes organizing necessary documentation and ensuring compliance with mailing regulations.
• Resource Inventory Management: Conduct regular reviews of inventory to maintain an adequate supply of resources required for billing operations. This involves coordinating with relevant departments to address any shortages or replenishment needs.
• Collaboration with Team Members: Collaborate with team members, including the Billing Manager, to streamline and enhance the efficiency of the billing workflow. Share insights and contribute to the continuous improvement of billing processes.
• Quality Assurance Checks: Engage in routine quality assurance checks to ensure the accuracy and completeness of claims, addressing any discrepancies promptly to maintain data integrity.

Compliance & Safety:

• Reviews paperwork for accuracy and correct process.
• Must participate in scheduled and unscheduled onsite compliance audits.
• Implements corrective/preventive measures as determined by the Corporate Compliance/Audit Committee.
• Cooperates with Internal Audit, Compliance and Dispatch Operations on any recommendations and changes to compliance and legal workflow issues.
• Takes swift and immediate action in accordance with Internal Audit and Corporate Compliance on any areas of concern.
• Complies and enforces all policies and procedures.
• Has successfully completed all required Compliance Training within the required time.
• Has had no compliance-related corrective action during the current review period.
• Participate in Safety and Risk training and activities.
• Serves as a company representative promoting positive customer relationships through proactive involvement in public business and community activities.
• Ensures a safe and productive work environment. Be a steward of safety, that you and your peers operate safely, in an environment free from danger and risk.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Qualifications

Qualifications:

• Combination of education and experience considered.
• Minimum of 2-3 years ambulance billing experience or experience with a high-volume practice or clinic.
• Ambulance billing experience is preferred.
• Technical Proficiency: Possess technical proficiency in utilizing billing software, electronic claim processing systems, and other tools essential for efficient claims management.
• Adaptability: Ability to adapt to changes in billing procedures, industry regulations, and organizational policies, ensuring a flexible and proactive approach to evolving challenges.
• Analytical Skills: Strong analytical and problem-solving skills to identify, address, and prevent issues in the reimbursement process.
• Detail-Oriented: Meticulous attention to detail to ensure accuracy in reimbursement activities and compliance with regulations.
• Communication Skills: Effective communication skills to liaise with the Billing Supervisor.

Education, Certificates, Licenses, Registrations:

• High school diploma or general education degree (GED).
• Ambulance/Medical billing certification or diploma preferred.

Position Type/Expected Hours of Work:

• This is a Full/Part position within the office.

Physical Requirements:

The physical demands associated with employees' duties are designed to be reasonable, with accommodation available for individuals with disabilities. The physical demands include:

• Manual Dexterity: Regular use of hands and fingers is integral to handle, feel, or operate objects, tools, or controls. Employees engage in tasks that require precise manual dexterity.
• Reach and Arm Movement: Frequent reaching with hands and arms is part of the job, especially when accessing files, equipment, or materials within the workspace.
• Posture: Employees are frequently required to sit for extended periods, emphasizing the importance of maintaining proper posture and using ergonomic seating.
• Verbal Communication: Regular activities involve standing, talking, and hearing, reinforcing the significance of effective verbal communication skills.
• Prolonged Sitting: The nature of tasks often involves prolonged periods of sitting, requiring employees to use ergonomic furniture and equipment to promote comfort and minimize strain.

Work Environment:

The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

It is predominantly an indoor setting characterized by cleanliness, providing a comfortable and conducive atmosphere for administrative tasks. The following factors are representative of the work environment:

• Typing and Computer Interaction: Daily responsibilities include extensive use of computers and other electronic devices. Employees engage in typing, data entry, and computer interactions.
• Computer Screens: Employees regularly work with computer screens for extended durations. Proper lighting and screen ergonomics are maintained to reduce eye strain and promote a healthy visual environment.
• Verbal Communication: The work environment encourages face-to-face and verbal communication among employees, fostering collaboration and a sense of camaraderie.
• Irregular Schedule/Hours: While the primary work hours are defined, employees may occasionally work irregular schedules to meet organizational needs. Flexibility is embraced to accommodate varied demands.

Closing Statement:

This brief summary is not an all-inclusive description of job duties. Other job duties and responsibilities may also be assigned by the incumbent’s supervisor at any time based upon Company need.

Support the Mission Statement and Philosophy of LifeLine Ambulance

• Develop a plan for maintaining your own professional growth and development.
• Evidence of respect for dignity, welfare, basic rights of all patients and team members.
• Maintain an elevated level of competency within the staff.

LifeLine Ambulance is a proud Equal Opportunity employer, m/f/d/v.