EMS Billing Specialist – EMS

This job was posted by https://www.kansasworks.com : For more
information, please see: https://www.kansasworks.com/jobs/13077096

This position supports the Sedgwick County Emergency Medical Services by
verifying billing information before it is sent to the billing vendor.
The EMS Billing specialist team reviews electronic patient care reports
for completeness and accuracy, and ensures any additional information
and signatures are included in the files. This position works
extensively with information protected under HIPAA. Moreover, the
position is exposed to highly sensitive and potentially disturbing
information related to emergency medicine and patient information, and
requires a high level of discretion.

EMS Billing Compliance

– Review electronic patient care reports (EPCR) for accuracy and
completeness before release to the billing vendor
– Use internal and external systems to verify patient demographic
information, mileage, and payer information
– Search for payment sources and call types in the ticketing system to
identify tickets that need to be worked more urgently or with
different procedures
– Verify all additional information is correct and complete for calls
with Medicare, Medicaid, or TRICARE payers
– Flag self-pay tickets for additional information
– Ensure ticket information is complete, well-ordered, and
consolidated to speed up the processing time of the billing vendor

Interaction with Internal and External Partners

– On tickets involving external agencies, communicate with agencies to
understand and document any concerns or gaps in information
– Answer questions for crews as needed by phone or in-person
– Follow up with crews to clarify potential issues in reports, and
update information as needed to maintain compliance with all laws,
regulations, and policies

Administrative Duties

– Back up the Administrative Assistant as needed including mail and
assisting customers
– Act as backup for Release of HIPAA-related information requests, and
document each release into tracking spreadsheets
– Secondary Job Functions (list no more than 5)
– Comply with all mandatory training requirements of Sedgwick County
– Work hold-list items to follow up on any outstanding issues
– Assist in obtaining documentation to be used in providing education
with regard to areas where improvement is needed
– Other duties as assigned

Minimum Qualifications: High school diploma or equivalent. One (1) year
of experience or education in medical administration, billing, or
related fields. One year of experience with Microsoft Suite or similar
systems.

Preferred Qualifications: Formal coursework in HealthCare billing.
Formal coursework in Microsoft Suite or other applicable computer
systems. Two (2) years of experience in healthcare billing or insurance.

It is the policy of Sedgwick County not to discriminate in its programs
or services provided to the general public, including employment and all
other activities, on the basis of race, color, religion, national
origin, citizenship, sex, age, disability, veteran status or any other
similarly protected status. Sedgwick County is committed to making the
application, interview, and pre-employment testing process accessible to
persons with disabilities. If you wish to volunteer information
regarding any special assistance you may need, please notify Human
Resources by phone at (316) 660-7050, TDD (Kansas Relay at 711 or
800-766-3777).Do not use this phone number foremployment questions.
This number is provided only for those requiring ADA assistance. You
will be contacted should the department feel that you are a qualified
candidate.