The Revenue Lockbox Specialist is responsible for receiving, opening, scanning, and processing incoming lockbox mail, including recording payments and balancing daily batches.

ESSENTIAL DUTIES AND RESPONSIBILITIES

 ·       Sort and process incoming lockboxes

·       Organize daily lockboxes and batches by date

·       Ensure each batch balances

·       Generate and maintain lockbox reports

·       Other job-related duties as assigned

 EDUCATION AND EXPERIENCE

·       High School Diploma required

·       One year of lockbox, payment posting, or bank teller experience required

 KNOWLEDGE, SKILLS, AND ABILITIES           

·       Ability to communicate effectively and professionally

·       Must be detail oriented and highly organized

·       Ability to prioritize and multi-task

·       Type a minimum of 40 wpm

·       Professional phone etiquette

 WORKING CONDITIONS 

·       Long periods of sitting at workstation working on a computer.

·       Must be able to lift up to 20 lbs

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

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

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.

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.

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

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

 ESSENTIAL DUTIES AND RESPONSIBILITIES 

·         Request hospital face sheet/demographics to obtain payer/demographic information

·         Verify payer information and select/add appropriate payer information on all transports

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

·         Review PCR or face sheets for missing insurance and other pertinent information in relation to billing

·         Work and resolve any claim for which a denial was received

·         Follow up on rejected claims

·         Work returned mail

·         Other job-related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

·         Strong computer skills with the ability to research and verify information

·         Problem solving mindset

·         Well organized and detail oriented

·         Professional phone skills

·         Ability to handle multiple tasks and to prioritize their importance

·         Maintain any certification applicable to job functions

EDUCATION AND EXPERIENCE REQUIRED

·         High School diploma or GED

·         Minimum of one year of experience in insurance verification or related billing role.

·         Minimum of one year of experience in data entry or administrative work within a healthcare or billing environment.

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

The A/R Specialist is responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management.

• Process claims over 60-days in a timely manner

• Work assigned denials and correspondence 

• Utilize clearinghouse and insurance portals to check claim status

• Identify and report trends detected to management

• Prepare corrected claims and appeals, as needed

• Process inbound and outbound calls as needed to insurance carriers

• Comply with all state and federal collections and HIPAA regulations

• Perform other job-related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

• Strong professional communication skills

• Detail-oriented with strong organizational skills

• Knowledge of managed care plans, insurance processes, and medical terminology

• Familiarity with reimbursement fee schedules (Medicare and Medicaid)

• Understanding of refund processes and requirements

• Ability to establish and maintain cooperative working relationships with staff

• Ability to prioritize tasks and manage multiple assignments simultaneously

• Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications

EDUCATION AND EXPERIENCE

• High school diploma or equivalent required; associate’s degree or higher preferred.

• Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.

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

This position is responsible for supporting the daily activities of both the Pre-Billing and Billing departments. The role involves preparing, reviewing, and maintaining patient and claim information to ensure timely and accurate medical billing. Duties include communication with hospitals and other medical facilities, documentation management, and ensuring compliance with all billing and privacy regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

·         Review medical records and place accounts into appropriate work queues.

·         Verify and obtain additional information from hospitals and other medical facilities as needed for billing.

·         Update and maintain patient demographics within billing software.

·         Print, match, and mail HCFA forms.

·         Send documentation requests to hospitals and facilities (e.g., Physician Certification of Medical Necessity, outpatient signature requests).

·         Bill Treated Not Transported (TNT) claims.

·         Handle returned mail, scanning, copying, and filing of documentation.

·         Ensure compliance with state and federal billing regulations and HIPAA laws.

·         Perform other job-related duties as assigned.

 EDUCATION AND EXPERIENCE

·         High school diploma or GED required; completion of or current enrollment in a medical billing and coding program preferred.

·         Prior EMS/Ambulance or medical billing office experience a plus

KNOWLEDGE, SKILLS, AND ABILITIES

·         Understanding of HIPAA regulations and familiarity with medical terminology preferred

·         Excellent verbal and written communication skills

·         Strong attention to detail and accuracy

·         Proficient with Microsoft Office applications (including Teams, Word, and Excel) with the ability to type a minimum of 35 WPM required

·         Professional phone etiquette and strong customer service skills

·         Demonstrated ability to work independently and as part of a team

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