Billing Services Specialist

Job Description

Job Description

Billing Services Specialist

Job Type : Full-Time

Work Location : Irving, TX

Schedule : Monday – Friday 8 : 00 AM-5 : 00 PM

• Conduct pre-billing audits of PCRs to ensure accurate and complete billing information for submission to CareFlite’s billing company.
• Perform daily PCR reconciliation to confirm proper documentation for every call, including completed transports, AMAs, public assists, and DOAs.
• Verify and ensure compliance with Physician Certification Statements (PCS), including mailing letters to facilities for missing or invalid PCSs and uploading forms to CareFlite’s billing platform.
• Ensure all necessary billing documents for ground claims are properly completed, indexed, and available for coding.
• Track and follow up on incomplete or missing documents and provide necessary reporting.
• Continuously enhance knowledge by engaging with industry contacts, reviewing relevant literature, and utilizing educational resources.
• Work directly with the contracted billing company to ensure accurate billing and timely follow-up.
• Maintain ethical, courteous, and professional behavior, reflecting CareFlite’s values.
• Demonstrate flexibility, adapt to changing priorities, manage conflict effectively, and seek personal and professional growth opportunities.
• Collaborate with team members to foster a supportive and cooperative work environment.
• Maintain regular attendance and adhere to working hours.
• Manages their time appropriately to ensure that all areas of their job responsibilities are adequately covered. Actively seeks out additional assignments or assists co-workers with their tasks when they have completed their assigned tasks.
• Utilizes active listening skills. Communicates to co-workers and the public clearly, concisely, and positively, both orally and in writing.
• Demonstrates a positive approach to problem-solving and utilizes the chain of command appropriately to resolve work-related issues.
• Possess and demonstrate sound judgment and objectivity in decision-making.
• Possess the ability to initiate work independently without direction and can be relied upon to complete tasks without continual supervision.
• Maintains ethical, courteous, and professional behavior, which reflects favorably on CareFlite. Adheres to the CareFlite Code of Ethics and Professional Conduct.
• Monitors own areas of strength and weakness; and seeks out opportunities and / or guidance for improvement. Seeks appropriate channels for personal and professional development.
• Demonstrates flexibility and has the ability to respond to changing priorities.
• Demonstrates changes in behavior or attitude following constructive guidance.
• Mediates conflict in an appropriate and effective manner.
• Exhibits a positive attitude in support of CareFlite and CareFlite / hospital management. Refrains from making negative comments about CareFlite, the hospital, and / or staff.
• Demonstrates strong written and oral communication skills by interacting in a clear and concise manner.
• Responsible for fostering positive relationships with internal customers.

Qualifications, Knowledge & Experience Required :

Physical and Mental Requirements :

The statements contained in this position description reflect the general duties considered necessary to describe the principle functions of the job as identified and shall not be considered a detailed description of all the work requirements that may be inherent in the position.