This position is responsible for researching, coding, and filing accurate claims in a timely manner while ensuring compliance with payer and regulatory requirements.

This role begins as an in-office position and is eligible for hybrid or fully remote work following the successful completion of a 90-day onboarding period.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Obtain all run reports (trip notes, PCRs, etc.) by paper or electronically for previous days’ transports

• Code claims with appropriate ICD-10 and HCPC codes

• Review each chart for medical necessity

• Request hospital face sheet/demographics, if applicable, to obtain payer or demographic information

• Verify payer information on all transports

• Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing

• Enter all claims into the billing system

• Match claims billed against all appropriate logs

• Follow up on rejected and failed claims as needed

• Recognize payer trends and report to management

• Perform other job-related duties as assigned

EDUCATION AND EXPERIENCE

• High school diploma or GED required

• Minimum of six (6) months of medical billing experience required

• EMS billing experience preferred

• Six months of ICD-10 and HCPC coding experience required

• CAC certification preferred

KNOWLEDGE, SKILLS, AND ABILITIES

• Strong attention to detail and accuracy

• Effective verbal communication skills

• Professional phone etiquette

• Ability to maintain any certification applicable to job functions

• Strong organizational skills with a focus on meeting deadlines

PHYSICAL REQUIREMENTS
This position involves extended periods of sitting or standing at a desk while working on a computer and performing repetitive tasks. Occasional lifting of up to 10 pounds may be required.

Emergicon requires satisfactory pre-employment background check and drug screening.

Job Tile: Patient Accounts Assistant

Department:  Patient Accounts Department

Reports To: Manager of A/R and Patient Accounts

FSLA:  Non-Exempt, Hourly

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Position:  Patient Accounts Assistant

Position summary

The Patient Accounts Assistant is an essential member of the Patient Accounts Department. You will use your detail-oriented approach and problem-solving abilities to handle patient and vendor information, respond to patient questions, and assist with department reporting. The Assistant maintains accurate records of interactions, payments, and account updates, ensuring compliance with company policies and regulations. This position interfaces internally with the accounts department and externally with patients and various company vendors.

Reporting structure, hours, and work environment

The Patient Accounts Assistant reports to the Patient Accounts Manager. The position reports to the Terrell corporate office.  Hours are Monday through Friday, 8:00 am to 5:00 pm.  Daily tasks are performed at a computer, requiring frequent use of hands and fingers for data entry while sitting or standing at a desk.

How will you contribute

·        Prepare and distribute daily departmental reports and related information

·        Perform outbound calls as needed to obtain insurance information

·        Provide support for incoming phone calls as required

·        Ensure adherence to state and federal collections regulations, as well as HIPAA Compliance

·        Perform other job-related duties as assigned

Core requirements to be considered

•           High school diploma or equivalent required

•           At least one year of customer service experience is preferred

•           Proficiency in general computer use, including Microsoft Word, Excel, and Outlook

How to grab our attention

•           Knowledge and use of HIPAA regulations is preferred

•           Comfortable with interfacing with diverse personalities

•           Professional phone etiquette

Key competencies for success

•           Communication: Strong written and verbal communication skills, with the ability to interact professionally with internal and external contacts

•           Detail-Oriented: Highly organized; managing data with strong attention to detail; keeping accurate records; reviewing documents for exceptions and inconsistencies

•           Concern for Order & Quality: Checks quality of work or information; Exemplary planning, prioritization, and time management skills

•           Analytical and Critical Thinking: Reviews and manages data with strong attention to detail; Combines facts with likely possibilities; Articulates and resolves problems using data, facts and logic with an understanding of its likely impact to the business

•           Action Oriented: A bias for action; When they see a problem they solve it using their industry knowledge, insights of trends, and internal processes and resources

•           Organizational Commitment: Ability to handle confidential internal and client information appropriately; Ability to follow Emergicon policies and procedures and adhere to the company's principles and exhibit their cultural values

Who you will be working for

Established in 2006, Emergicon, LLC is a Texas-owned and is Texas-based in Terrell. We provide Ambulance Billing Services with a different twist. Clients expect more than just automated solution. Our clients connect with real people - real ambulance billing experts to manage claims and maximize collections and drive revenue. Our experts personally review, process, and mange every claim – from initial payer identification to ongoing patient services.

Our client-centric approach allows us to create true partnerships and offer friendly, compassionate expertise to our clients. Our approach is holistic, offering strategic assessments and specific recommendation that ensures compliance while driving revenue. 

Our Texas-friendly style is defined by leading with excellence in service, supported by shared values of hard work, accountability, and kindness. Our commitment to integrity and community-focused service have helped propel us to be the largest emergency medical billing company in Texas. Please visit us at www.emergicon.com to review our company and employee benefit information, and to see our community impact through client testimonials.

Our values and culture

It takes a great culture and amazing talent to be the largest emergency billing company in Texas. We invest in our people and promote a diverse, inclusive and engaging culture to fulfil our mission of strengthening EMS and Fire department services all across Texas.

We like to say that we are all a part of a “great team doing great things.” We hope to attract individuals who are engaged, client-centric and passionate about our client’s success. We focus on helping one another and caring about the work we do. When talented people come together and share similar values – amazing things happen. Please come join our team to fulfil our important mission to serve Texas communities.

The Credentialing & Reimbursement Specialist is responsible for coordinating, monitoring, and maintaining provider enrollment, re-enrollment, revalidation, and ERA/EFT processes in a timely and compliant manner.

This position reports directly to the Credentialing Assistant Manager and collaborates with Emergicon personnel across all departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Coordinate TMHP and Medicare (MCR) revalidation processes, ensuring accuracy and compliance with deadlines 

• Set up payor sites for eligibility, claim filing, claim status, ERA, EFT, and appeals 

• Establish and maintain group accounts for multi-providers 

• Maintain and update provider licenses and insurance addresses  

• Prepare enrollment applications for all health plans, including Medicare and Medicaid

• Complete and distribute W-9 forms

• Demonstrate problem-solving and customer service skills  

• Ability to understand, analyze, and interpret complex documents 

• Other job-related duties as assigned

KNOWLEDGE AND EXPERIENCE

• High school diploma/GED required 

• Minimum of 2 years of provider enrollment experience preferred, including TMHP and Medicare revalidation.  

• Ability to distinguish and explain an EFT, ERA, EOB, COB, and “pay to” address   

• Ability to read and understand payor applications and how payors work 

• Knowledge of federal and state insurance laws and their interpretation as appropriate

• Knowledge of insurance claim processing, third-party reimbursement, and revalidation processes  

• Ability to work within a deadline-intense environment prioritizing workflow as needed.  

• Must be able to communicate clearly and professionally, verbally and in writing.

• •Manage claims over 90-days on the A/R reports in a timely manner
• Attach no-pays to the correct account
• Review non-financial correspondence and route to the appropriate departments for processing
• Manage hospital requests for ER notes and discharge summaries to support billing processes
• Sort, scan, and attach non-financial mail and documentation to the appropriate accounts
• Perform data entry and account updates, including patient and insurance information
• Assist with gathering supporting documentation for appeals and claims processing
• Provide general administrative support as needed
• Follow all state and federal collections and HIPAA laws
• Align with & support Emergicon’s core values & behaviors
• Other job-related duties as assigned

• Ability to communicate effectively and in a professional manner with patients, insurance carriers, co-workers, management and others
• General knowledge of ambulance medical billing/coding process
• Ability to prioritize and multi-task
• Basic proficiency in computer applications, including email, word processing, and spreadsheets
• Must possess strong attention to detail
• Ability to establish/maintain cooperative working relationships with staff
• Strong verbal and written communication skills

• HS Diploma/GED required
• Experience in Medicare A/R, appeals, correspondence and denials a plus
• At least one (1) year of experience in medical billing, accounts receivable, healthcare administration, or a related field preferred

REPORTS TO

This position reports directly to the Patient Accounts Manager and works collaboratively with other Emergicon personnel across all departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES

·        Handle high-volume inbound calls related to claims and statement inquiries from patients, insurance companies, and law offices.

·        Make outbound calls to resolve delinquent accounts through patient payment arrangements.

·        Process credit card and ACH transactions efficiently and accurately.

·        Ensure compliance with state and federal collections regulations, as well as HIPAA requirements.

·        Other job-related duties as assigned.

EDUCATION AND EXPERIENCE

·        High School Diploma or equivalent (GED) required

·        Bilingual in English and Spanish a plus

·        At least six months of experience in customer service, collections, healthcare billing, or patient accounts required.

KNOWLEDGE, SKILLS, AND ABILITIES

·        Strong oral and written communication skills to interact effectively with customers and all levels of management

·        Proven ability to prioritize tasks, solve problems, and manage multiple responsibilities simultaneously

·        Strong interpersonal skills with the ability to collaborate effectively in a team environment

·        Proficient in general computer skills, including word processing, spreadsheets, and email applications

·        Knowledge of HIPAA compliance regulations and ability to handle sensitive patient information appropriately

WORKING CONDITIONS

Position requires long periods of sitting/standing at a desk while using a computer.

     *Outgoing, authentic, passionate, competitive, and inspiring?

      RAISE YOUR HAND IF THATS YOU?

     *If you are an AMAZING self-starter who wants to grow with an AWE-INSPIRING CULTURE DRIVEN company, then keep reading my friend!!!

     *Not only are we the largest EMS Billing Company in Texas, but we are also the BEST at what we do!! COME GROW WITH US!!

     *We offer hands on Training & Development-Cross Training & Growth within our EMERGITASTIC Company!

PRIMARY FUNCTIONS:

The Accounts Receivable Specialist is responsible for reviewing claims to ensure maximum reimbursement by following up with insurance carriers and patients as well as recognizing any trends in reporting and communicating those trends to the lead and/or manager for review.

REPORTS TO/SUPERVISES:

The Accounts Receivable Specialist reports directly to the Accounts Receivable Manager. This position works collaboratively with other Emergicon personnel in all departments.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Manage all claims over 60-days on the A/R reports in a timely manner
• Work assigned denials and correspondence 
• Utilize clearinghouse and insurance portals for claim status
• Report all trends detected in A/R management
• Prepare corrected claims and appeals, as needed
• Process inbound and outbound calls as needed to insurance carriers
• Follow all state and federal collections and HIPAA laws
• Align with & support EMERGICON’ S core values & behaviors
• •Other duties as assigned
• 
  

REQUIRED KNOWLEDGE AND EXPERIENCE:

• Maintain any certification applicable to job functions
• Computer Literacy
• Ability to communicate effectively and in a professional manner with patients, insurance carriers, co-workers, management, and others 
• Detail Oriented 
• Knowledge of managed care plans, insurance, medical terminology
• Knowledge of reimbursement fee schedules (Medicare and Medicaid)
• Knowledge of refund processes and requirements
• Ability to establish/maintain cooperative working relationships with staff
• Ability to prioritize and multi-task

PREFERRED KNOWLEDGE AND EXPERIENCE

Experience in Medicare A/R, Commercial insurances, appeals, correspondence, and denials is a plus.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Meet individual production targets for claims processing while maintaining accuracy and compliance.

•  Retrieve and review incident data from clients to ensure all necessary information is collected.

• Communicate effectively with insurance adjusters, insured drivers, and businesses to clarify information and facilitate claim processing.

•  Verify the accuracy and completeness of submitted claims prior to submission.

•  Enter, update, and maintain insurance policy and claim information in the company database.

•  Calculate, prepare, and submit accurate billing to insurance carriers promptly.

•  Process inspection and claim payments, including over-the-phone payments.

•  Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution.

•  Manage appeals and respond to denied claims as needed, providing supporting documentation.

•  Contact responsible parties and insurance companies regarding claims outstanding over 30 days.

•  Maintain accurate and organized records for all assigned accounts.

•  Assist with special projects and perform other duties as assigned.

EDUCATION AND EXPERIENCE

•  High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.

•  Minimum of one year of experience in fire incident claims processing or a related field required.

•  Familiarity with fire terminology and report structure required.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

•  Intermediate or higher proficiency in Microsoft Office (Excel, Outlook, Word).

•  Strong customer service skills and professional demeanor.

•  Excellent verbal and written communication skills.

•  High level of accuracy and attention to detail.

•  Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

•  Strong organizational and time management skills.

Emergicon requires satisfactory pre-employment background check and drug screen.