Medicare/Medicaid Account Specialist

Pridemark Paramedic Services, LLC, a healthcare company specializing in emergency and non-emergency medical care and transportation since 1997, is now accepting applications for the position of Medicare/Medicaid Account Specialist.

The Medicare/Medicaid Account Specialist is primarily responsible for the initial verification and trip entry of these trips.  This job will also include follow up on trips and appeals as needed.  This position will also require answering incoming customer service calls, working insurance related correspondence and any other duties as directed by Supervisor.

Required Duties and Responsibilities:

• Verifying Medicare and Medicaid coverage and determine appropriate billing levels and medical coding information for billing.  Accurately enter that information into the system for billing.
• Requesting and following up on trips needing Signatures, facesheets, medical records and PCS forms. 
• Following up on unpaid claims by calling Medicare, Medicaid and Logisticare and checking the status of claims.  Ensuring expedient payment by taking the necessary steps to generate payment from the carrier.
• Preparing, verifying and sending out Logisticare weekly billing.
• Sorting, processing and attaching documents to HCFA 1500 forms as necessary and sending them out on.
• Submitting appeals to carriers in a timely manner when necessary.
• Processing related Medicare, Medicaid and Logisticare correspondence on a daily basis. (Denials, requests for more information.)
• Answering incoming customer service phone calls and providing any assistance required in order to meet the customer’s needs.
• Assisting in the cleanliness of the office/station
• Assist in filing as time permits
• Any other miscellaneous duties assigned by Supervisor.

Minimum Qualifications:

• Customer Service experience

·         Ability to type 35-40 words per minute

·         Data Entry - Numeric & Alpha

·         Medical terminology

·         High School diploma or equivalent

·         Experience in the medical billing field

·         Knowledge of  ICD-9, CPT, and HCPCS coding systems

·         Ability to read, write and speak the English language fluently

·         Ability to use computer with Microsoft Office package (word, Excel)

·         Ability to communicate in a friendly, positive, respectful manner

·         Ability to efficiently handle multiple tasks at one time

·         Ability to work some evenings and weekends as needed (minimal)

Preferred Qualification:

• Three years Medical Billing/Follow-up experience
• Previous experience doing billing in and EMS setting
• Knowledge of medical terminology
• Ability to speak Spanish

Qualified candidateds please submit resumes to: [Click Here to Email Your Resumé]

EOE