Help keep Texas first responders funded
When a fire department or EMS agency answers a call, we make sure they get paid for it. Founded in 2006, Emergicon is the largest emergency medical billing company in Texas. We serve agencies of every size, from small rural services to major Texas cities.

Our culture is “service-first,” built on hard work, accountability, and kindness. We work as “One Team. One Sound.” and there’s real room to grow if you want to make an impact in the EMS industry.

What you’ll do
As a Cash Applications Specialist, you’ll make sure every payment our clients receive is posted correctly and on time. You’ll also spot payment trends, fix errors, and work with insurance companies to resolve problems.

• Post manual and electronic payments to patient accounts
• Review insurance remittance advice for accuracy
• Spot overpayments, billing errors, and posting errors, then resolve them or flag them to your supervisor
• Research unidentified payments and recoupments to find the right resolution
• Flag trends or problems with specific payers
• Work with the accounts receivable team to resolve remittance issues
• Reconcile to the general ledger and support month-end close
• Meet all daily, weekly, and monthly deadlines
• Live out Emergicon’s core values every day
• Other duties as assigned

How you’ll work

This role is based in our Terrell, TX office. You’ll get hands-on training when you start.

Depending on your performance, there will be an option to move to hybrid or remote after 90 days.

You’ll report to the Cash Applications Manager and work closely with the accounts receivable team and insurance companies.

Most of the job is done at a computer, with frequent typing and data entry while sitting or standing at a desk.

What you’ll need

• High school diploma or GED
• 1+ year of medical payment posting experience
• Strong attention to detail and good organization
• Ability to prioritize and manage multiple tasks at once
• Clear, professional communication, both written and verbal, including on the phone
• Skill with Microsoft Office, including Excel (formulas, sorting, filtering)
• Comfort with accounting or financial software and electronic payment systems

Nice to have

• Accounts receivable experience
• Ambulance or EMS billing experience

What we offer

• Pay of $20 per hour
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Life insurance, short-term disability, and critical illness coverage
• Paid training and room to grow in the EMS industry

Offers are contingent on passing a pre-employment background check and drug screening.

Emergicon is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.

Emergicon LLC is an EEO Employer - M/F/Protected Veteran Status

Location: Terrell, TX | Schedule: Full-time, Monday–Friday, 8am-5pm
(local candidates only)

Help keep Texas first responders funded

When a fire department or EMS agency answers a call, we make sure they get paid for it. Founded in 2006, Emergicon is the largest emergency medical billing company in Texas. We serve agencies of every size, from small rural services to major Texas cities.

Our culture is "service-first," built on hard work, accountability, and kindness. We work as "One Team. One Sound." and there's real room to grow if you want to make an impact in the EMS industry.

What you'll do

As an Accounts Receivable Specialist, you'll play a key role in maximizing reimbursement for our clients by following up on outstanding medical claims, resolving denials, and ensuring timely payments from insurance carriers.

This is a high-volume, productivity-driven role where success requires strong follow-up skills, experience resolving insurance denials, attention to detail, and the ability to consistently meet established performance goals

Your primary responsibilities will include:

• Claims Follow-Up: Work outstanding claims over 60 days old, proactively following up with insurance payers to secure timely resolution and maximize collections.
• Denial Management: Research, investigate, and resolve denied or underpaid claims, identifying appropriate corrective actions and preparing appeals when necessary.
• Insurance Payer Communication: Work directly with Medicare, Medicaid, and commercial insurance carriers, including BCBS, UnitedHealthcare (UHC), Aetna, VA, Cigna, and other payers, to resolve outstanding claims and payment issues.
• Claim Status & Resolution: Utilize clearinghouse systems, payer portals, and direct communication with insurance representatives to research claim status, identify payment delays, and resolve outstanding balances.
• Corrected Claims & Appeals: Prepare and submit corrected claims, reconsiderations, and appeals while ensuring compliance with payer guidelines and timely filing requirements.
• Productivity & Performance: Consistently meet or exceed established productivity goals, quality standards, and performance expectations while maintaining accuracy in claim resolution.
• Trend Identification: Identify recurring denials, payment discrepancies, and payer-related issues, escalating trends and recommending improvements to your Team Lead or Manager.
• Patient & Payer Communication: Make and receive calls with insurance carriers and patients to resolve account balances and payment-related questions.
• Refund Processing: Review and process refunds in accordance with payer requirements and applicable state regulations.
• Compliance: Follow HIPAA regulations, applicable state and federal collection laws, and company policies.
• Demonstrate Emergicon's core values in daily interactions and responsibilities.
• Perform other job-related duties as assigned.

How you'll work

You'll begin with a 90-day, in-office onboarding and training period at our Terrell, TX location. Upon successful completion of onboarding, you may be eligible for hybrid or fully remote work based on performance and business needs.

Remote employees must reside in Texas.

You'll report to the Accounts Receivable Manager and collaborate with team members across the organization.

 Our A/R team operates in a production-based environment with established daily productivity and quality expectations. We're looking for individuals who are comfortable managing a high volume of accounts, prioritizing follow-up activities, and consistently delivering results without sacrificing accuracy.

What you'll need

• High school diploma or GED.
• 2+ years of medical billing or accounts receivable experience, with a strong emphasis on insurance claims follow-up and denial resolution.
• Demonstrated experience researching, working, and resolving denied medical claims.
• Hands-on experience working with multiple insurance payers, including Medicare, Medicaid, and commercial insurance carriers such as BCBS, UHC, Aetna, VA, and Cigna.
• Working knowledge of Medicare, Medicaid, and commercial insurance guidelines, including managed care plans and fee schedules.
• Ability to interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), identify payment discrepancies, and determine appropriate next steps.
• Experience preparing corrected claims, reconsiderations, and appeals.
• Familiarity with CMS-1500/837P claims, ICD-10 and HCPCS codes, and payer-specific timely filing requirements.
• Knowledge of medical terminology and insurance refund processes.
• Strong computer skills, including Microsoft Office, medical billing software, clearinghouses, and insurance payer portals.
• Excellent organizational skills, attention to detail, and ability to manage competing priorities.
• Professional communication skills when working with insurance representatives, patients, and internal teams.
• Ability to work effectively in a productivity-driven environment and consistently meet established productivity, accuracy, and performance expectations.
• Ability to work independently, manage assigned accounts, and take ownership of claim resolution.
• For remote work: Reliable high-speed internet and a private, HIPAA-compliant workspace.

Nice to have

• Previous ambulance or EMS billing experience.
• Experience working with Texas Medicaid (TMHP) and Novitas Medicare.
• Previous experience in a high-volume, production-based medical billing or A/R environment.
• Demonstrated success meeting or exceeding daily productivity and quality metrics.
• Certification such as CPC, CRCR, or Certified Ambulance Coder (CAC).

What makes someone successful in this role?

The ideal candidate is a proactive problem-solver who doesn't just check claim status but takes ownership of getting claims resolved.

You'll thrive in this position if you're experienced in navigating insurance payer requirements, confident handling denials and appeals, comfortable managing a high volume of accounts, and motivated by measurable results.

We're looking for someone who understands that successful A/R follow-up means moving claims toward resolution—not simply documenting another follow-up attempt.

What we offer

• Pay of $20-23/hour, based on experience
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Life insurance, short-term disability, and critical illness coverage
• Paid training and room to grow in the EMS industry

Offers are contingent on passing a pre-employment background check and drug screening.

Emergicon is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.

We are looking for an experienced Revenue Cycle Quality Assurance Specialist to join our compliance team.  In this role, you’ll serve as Emergicon’s dedicated quality check on the revenue cycle — auditing billing, coding, accounts receivable, and payment activity for accuracy, completeness, and compliance, then tracking corrective action until problems stay fixed. This position also helps build the audit tools, scorecards, and standards for Emergicon’s growing quality assurance program.

This is a hybrid position based out of our Terrell, TX office, with remote work available in accordance with company policy.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Perform routine, random, targeted, and risk-based audits of revenue cycle activity, reviewing accounts for accuracy, completeness, timeliness, documentation, and adherence to established requirements
• Audit across the full claim lifecycle, including patient demographics, insurance and eligibility, charge entry, claims, coding and documentation, denials and appeals, accounts receivable follow-up, payment posting, adjustments, write-offs, credits, refunds, and account notes
• Identify billing errors, missed charges, duplicate billing, preventable denials, incorrect adjustments, underpayments, revenue leakage, and other quality concerns — and the patterns and recurring issues behind them
• Conduct root-cause analysis to determine whether errors result from employee performance, training, processes, systems, payer requirements, or inadequate controls
• Quantify the financial impact of audit findings where appropriate
• Maintain accurate supporting documentation for audit findings, track corrective actions, and conduct follow-up audits to confirm issues stay resolved
• Escalate significant, recurring, or potential compliance concerns to the Director of Compliance promptly
• Develop and maintain quality assurance reporting covering audit results, error rates, recurring findings, trends, financial impact, and corrective actions
• Communicate findings clearly and objectively, distinguishing individual performance issues from training gaps, process deficiencies, system issues, and compliance concerns
• Help build and standardize Emergicon’s revenue cycle quality assurance program, including audit tools, scorecards, sampling methods, and written procedures
• Review current workflows and collaborate with revenue cycle leadership and subject-matter experts to develop or improve standard operating procedures (SOPs)
• Maintain confidentiality and objectivity throughout the audit process, and safeguard protected health information and company financial information
• Align with and adhere to Emergicon’s core values
• Perform other job-related duties as assigned

 EDUCATION AND EXPERIENCE

• Associate’s degree in healthcare administration, business, or a related field required, or equivalent practical revenue cycle experience
• Minimum of three (3) years of healthcare revenue cycle, medical billing, coding, accounts receivable, denial management, auditing, quality assurance, or compliance experience required
• Demonstrated working knowledge of end-to-end healthcare revenue cycle operations required
• Experience working in healthcare billing or revenue cycle systems required
• Direct experience in revenue cycle quality assurance or auditing preferred
• EMS or ambulance billing (or other emergency-services healthcare billing) experience preferred
• Experience across Medicare, Medicaid, commercial, managed care, and self-pay accounts preferred
• CPMA, CPC, CRCR, CHC, CAC, or comparable healthcare auditing, coding, or compliance certification preferred

 KNOWLEDGE, SKILLS, AND ABILITIES

• Strong analytical and investigative skills, including sampling, trend identification, root-cause analysis, and quantifying financial impact
• Proficiency in Microsoft Excel, including large data sets, lookups, and pivot tables
• Ability to learn and audit within Emergicon’s billing platform and related payer and clearinghouse systems
• Ability to design practical audit tools, scorecards, and error classifications that employees and leadership can understand and use
• Comfort adopting automation and AI-assisted tools that streamline audit and reporting work
• Alert to billing, documentation, payer, and compliance risks, and quick to recognize emerging trends
• Curious — asks why errors happen and investigates root causes rather than stopping at the error
• Responsive — acts promptly on significant findings and communicates clearly with the right stakeholders
• Objective and consistent, applying documented audit criteria while staying independent from the teams being audited
• Strong discretion with protected health information and confidential company information

 WORKING CONDITIONS

This position involves extended periods of sitting or standing at a desk while working on a computer. Work is hybrid, splitting time between Emergicon’s Terrell, TX office and a remote environment that supports the safe handling of confidential financial and protected health information.

BENEFITS:

Emergicon invests in its people with a full benefits package: health insurance, dental, vision, life insurance, 401(k) retirement plan, and short-term disability and critical illness coverage.

Offer of position is contingent on passing a pre-employment background check and drug screening.

With a close-knit "One Team. One Sound." culture, Emergicon offers real room to grow for people who want to make an impact in the EMS industry.

Emergicon LLC is an EEO Employer - M/F/Disability/Protected Veteran Status