What are the responsibilities and job description for the Billing Compliance Specialist position at Acadian Ambulance?
The Risk Management department of Acadian Ambulance has an available full-time position for a Billing Compliance Specialist.
This position will be responsible for compiling, analyzing, and documenting findings from internal and external audits for billing accuracy and compliance standards.
The position follows a Monday through Friday schedule, from 8am to 5pm.
Duties And Responsibilities
This position will be responsible for compiling, analyzing, and documenting findings from internal and external audits for billing accuracy and compliance standards.
The position follows a Monday through Friday schedule, from 8am to 5pm.
Duties And Responsibilities
- Conduct monthly billing compliance audits and identify areas of concern and risk
- Conduct focused audits, concentrating on particular areas of concern (i.e. accuracy of obtained and completed forms, signature validation, documented medical necessity, accurate mileage billing, proper procedure codes, proper ICD10 codes, etc.), and handle analysis solely on that issue/process/concern
- Review emergency and non-emergency transports to confirm they were billed correctly under Federal Compliance Regulations/Guidelines
- Identify the requirements needed to bill a transport as an emergency and/or non-emergency, and determine that the transport was billed correctly based on those requirements
- Ensure medical necessity requirements for both emergency and/or non-emergency transports (i.e. accurate mileage, medical necessity documented, accurate patient information, appropriate forms obtained, etc.)
- Work closely with the billing Compliance Manager on any findings, risks, or areas of concern
- All other duties are assigned
- HS Diploma or GED equivalent
- 5 years of Medicare experience preferred
- Excellent written and verbal communication skills
- Basic or Paramedic clinical experience is preferred
- Excellent problem solving abilities and communication skills
- Possess strong organizational skills
- Ability to adhere to productive goals and department guidelines
- Demonstrate a strong work ethic, professionalism and the ability to work independently
- Familiarity with Centers for Medicare and Medicaid Service regulations for Ambulance
- Proficient in google products and basic computer skills
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