EMS Billing Specialist

Non-exempt (over-time and/or compensatory time eligible); full-time; 40 hours per week; Monday - Friday; 8:00 a.m. - 5:00 p.m.; full-benefits

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This position supports the Frederick County Fire and Rescue Service's Ambulance Transport Billing Program by managing third-party billing processes, addressing incomplete documentation, and maintaining HIPAA-compliant patient information. Duties include tracking Electronic Patient Care Reports, responding to inquiries, resolving billing issues, monitoring subscriptions, and handling requests for itemized statements and patient records. It is a customer-focused position involving direct interaction with Frederick County community members and third party billing staff. Supervision is received the EMS Billing Coordinator.

• NOTE: The upper pay range reflects possible wage rates for internal County transfers and promotions, which are calculated per County policy. Â For external hires, offers are made at the base wage rate, with limited exception.
  
  

Frederick County Government values the principles of diversity and inclusion, and strives to ensure equal opportunities for its workforce, applicants and community members. Â If you are a person who wants to make a difference, give back to your community, and be a voice for change, apply to Frederick County Government today.

Total Compensation Package

Frederick County offers an extensive compensation package to reflect how highly we value our employees. The following is what you can expect in your first year as a full-time benefited Frederick County Government employee.

• 11 days of Vacation leave with increase after 2 years of employment
• 15 days of Sick leave with unlimited annual carryover
• 11 paid holidays, plus 2 additional floating holidays
• Day 1 coverage of comprehensive Medical Insurance Plan options to include generous County Health Savings Account (HSA) contribution (if enrolled in the high-deductible plan). This is part of a full range of benefits including Dental, Vision, and Flexible Spending
• 100% County paid 2x annual salary Group Term Life Insurance and Accidental Death & Dismemberment (AD&D) benefit
• County and Employee funded Defined Benefit Pension Plan
• Vesting after 5 years of service
• Additional service credit for eligible previous public service, military service, etc.
• Work/Life balance programs include: Employee Assistance Program and Employee Wellness Program
• Generous Tuition Reimbursement Program
• Other employee-paid benefits such as Deferred Compensation Plan, Legal Resources, Supplemental Life Insurance, Critical Illness, Accident, and Hospital Indemnity Insurance, Lifetime Benefit with Long Term Care plan.
• Coming in 2025: Employee Health Center with no or low-cost primary and urgent care
  
  

For more information, visit our benefits page on the Frederick County Government job opportunities webpage.

• Receive and review patient care reports for completeness, accuracy and signature requirements
• Manage processes with third party billing vendors
• Research and correct problems with incomplete documentation on ambulance records; contact responsible individuals for corrections; maintain files that contain confidential medical information in a manner that is auditable as required by Federal law; compile and maintain confidential patient care information documented by ambulance personnel
• Responsible for tracking non-signature or incomplete Electronic Patient Care Reports (ePCR)
• Maintain the strictest confidentiality and adhere to all HIPAA guidelines and regulations.
• As needed, contact hospitals and medical facilities to obtain necessary patient insurance information
• Respond timely to telephone calls and emails concerning patient inquiries; provide information and assistance to vendors, other County departments/agencies, etc; refer other matters to appropriate staff
• Perform review and follow-up on outstanding billing issues
• Monitor subscription memberships and monthly reporting
• Receive information requests for itemized statements and patient reports
• Monitor and review outstanding reports for correction and updates
• Prepare monthly, quarterly and annual reports
• Perform office support duties (e.g. photocopy, file, order supplies, daily mail, etc.)
• Perform other duties as required
  
  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Â Any single position may not be assigned all duties listed above, nor do the examples cover all duties that may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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The qualifications/requirements, knowledge/skills/abilities and physical requirements or working conditions described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Â

• High school graduation or the equivalent
• Minimum 1 year of billing work experience that includes customer service responsibilities
• Intermediate skills in Microsoft 365
• NOTE: Â An Associate's degree or higher earned in Accounting may substitute for the 1 year work experience requirement
  
  

Knowledge / Skills / Abilities

• Knowledge of medical billing and coding
• Knowledge of medical terminology and documentation practices
• Familiarity with ambulance transport billing procedures and third-party billing systems
• Understanding of HIPAA regulations and federal confidentiality laws
• Ability to learn an electronic patient care reporting system (ePCR)
• Strong and effective mathematical and clerical skills, with the ability to accurately compile, prepare and verify detailed information
• Ability to effectively access and utilize Microsoft Office Suite, e-mail, spreadsheet and other systems and equipment, and to learn new software as it is required
• Discretion and good judgment in dealing with sensitive information and the medical, financial and personal information of others
• Ability to effectively organize work, determine priorities (and reassess as needed), be detail orientated, and complete assigned duties in a timely manner with minimal supervision
• Organizational and problem-solving skills to manage processes and address incomplete documentation
• Ability to research and resolve outstanding billing issues with accuracy
• Strong and effective spoken and written (English) communication skills including the ability to clearly explain policies, regulations and billing information to others
• Ability to develop and maintain effective working relationships with co-workers, vendors and the general public
  
  

PREFERENCE MAY BE GIVEN FOR

• Medical billing work experienceÂ
• Ambulance billing work experience
• Experience using an Electronic Patient Care Reporting system
• Experience working as an Emergency Medical Technician (EMT) or current EMT certifications
  
  

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Physical Requirements / Working Conditions

• While working in this position, the employee is required to frequently sit and rarely reach
• While working in this position, the employee is required to constantly work indoors
• Available for varied working hours (which may include evening hours) to meet departmental priorities
• Ability to provide own transportation to off-site meeting locations, as needed
  
  

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KIND OF EXAMINATION (may include):Â

• An evaluation of training and experience
• One or more interviews
• A pre-employment background investigation conducted by the Division of Fire and Rescue Services
  
  

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