Accounts Receivable Specialist – EMS Billing

Summary

Emergicon is an emergency medical billing company serving fire departments and EMS agencies across Texas. The Accounts Receivable Specialist will follow up on aged claims, denials, and appeals, communicate with insurance carriers and patients, process refunds, identify payment trends, and ensure compliance with HIPAA and applicable collection laws.

Responsibilities

• Work claims over 60 days old on the A/R reports, with a focus on timely resolution
• Work assigned denials and correspondence
• Check claim status using clearinghouse and insurance portals
• Prepare corrected claims and appeals
• Make and take calls with insurance carriers and patients
• Spot trends in denials and payments and report them to your lead or manager
• Process refunds according to payer and state requirements
• Follow HIPAA and applicable state and federal collection laws
• Live out Emergicon's core values every day
• Other duties as assigned

Skills

• High school diploma or GED
• [2+] years of medical billing or A/R experience
• Working knowledge of Medicare, Medicaid, and commercial insurance, including managed care plans
• Understanding of Medicare and Medicaid fee schedules
• Ability to read EOBs and ERAs and to work denials and appeals
• Familiarity with CMS-1500/837P claims, ICD-10 and HCPCS codes, and timely filing limits
• Knowledge of medical terminology and refund processes
• Strong computer skills, especially Microsoft Office, plus experience with medical billing software
• Clear, professional communication with patients, carriers, and coworkers
• Detail-oriented, organized, and able to juggle priorities
• Ambulance or EMS billing experience
• Experience with Texas Medicaid (TMHP) and Novitas Medicare
• Certification such as CPC, CRCR, or Certified Ambulance Coder (CAC)

Qualifications

Must Haves

• High school diploma or GED
• [2+] years of medical billing or A/R experience
• Working knowledge of Medicare, Medicaid, and commercial insurance, including managed care plans
• Understanding of Medicare and Medicaid fee schedules
• Ability to read EOBs and ERAs and to work denials and appeals
• Familiarity with CMS-1500/837P claims, ICD-10 and HCPCS codes, and timely filing limits
• Knowledge of medical terminology and refund processes
• Strong computer skills, especially Microsoft Office, plus experience with medical billing software
• Clear, professional communication with patients, carriers, and coworkers
• Detail-oriented, organized, and able to juggle priorities

Nice to Haves

• Ambulance or EMS billing experience
• Experience with Texas Medicaid (TMHP) and Novitas Medicare
• Certification such as CPC, CRCR, or Certified Ambulance Coder (CAC)

Benefits

• Hybrid or fully remote work after a 90-day onboarding period, for remote team members who live in Texas
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Life insurance, short-term disability, and critical illness coverage
• Paid training
• Room to grow in the EMS industry