Ambulance Billing Clerk (Air/Ground)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The St. Luke's Emergency Transport Services (SLETS) Ambulance Billing Clerk is responsible for completion of the revenue cycle of the SLETS Organization. The Ambulance Billing Clerk is responsible for accurate and timely preparation of accounts for submission to third-party carriers, intermediaries, and guarantors in accordance with SLETS, SLUHN, and CMS policy and Billing regulations. The Ambulance Billing Clerk is responsible for the maintenance of accounts through monitoring of aging reports and follow up of denials and unpaid accounts including the movement to collections. The Ambulance Billing Clerk interacts with patients, internal and external customers via telecommunications devices, and written correspondence and is the representative of SLETS and SLUHN.

JOB DUTIES AND RESPONSIBILITIES:

• Responsible for entirety of the SLETS Revenue cycle including submission of ambulance billing claims, follow-up on claim denials, posting payments to customer accounts, applying contractual discounts and write-off's.

• Monitor unpaid accounts and takes appropriate action (i.e. rebill, submit to the guarantor, phone calls, etc).

• Regular review of past due accounts for collections submission.

• Review billing claim overpayments and process refunds.

• Handle insurance payment negotiations based on SLETS policy criteria.

• Responsible for the communication and/or updating of correct patient information to appropriate staff(s), department(s), and computer system(s).

• Responsible for accurate accounting of all claims and/or bills.

• Resolves or assists complaints, misunderstandings, and inquiries related to billing.

• Ongoing application of all billing requirements and/or regulations.

• Coordination of SLETS annual Subscription Program.

• Demonstrates responsibilities in meeting organizational and personal standards.

• Coordinates incoming, outgoing and internal communications.

• Demonstrates ability to use various types of computer software programs.

• Responsible for own professional and personal growth through participation in continuing education programs.

• Records appropriate statistics and generates reports as required.

• Performs other clerical duties as needed.

• Coordinates with Quality Improvement Team and Educational and Development Teams to identify documentation trends and relay best practices.

• Works directly with SLETS Management Team to identify charting discrepancies and PCR compliance outliers.

• Reviews flight records, patient care reports, dispatch records, and transport documentation to ensure billing readiness and compliance.

• Prepares and submits air ambulance claims to third-party carriers, intermediaries, and guarantors within established departmental timelines.

• Applies appropriate air ambulance billing codes, modifiers, origin and destination codes, and charges according to payer guidelines.

• Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting 8 hours per day; 3 hours at a time. Stand up to 1 hour per day; 30 minutes at a time. Walk up to 2 hours per day; 20 minutes at a time. Continuously fingering and handling for data entry, typing, etc. and occasional twisting and turning. Occasionally lift up to 20 lbs. Occasionally carry up to 15 lbs. Frequently stoops, bends, or reaches above shoulder level to retrieve files. Must be able to perceive attributes of an object through touch. Must be able to hear as it relates to normal conversation. Must be able to see as it relates to general, near, far, color, peripheral vision and vision monotony.

EDUCATION:

High School diploma or equivalent required. NAAC Certified Ambulance Coder (CAC) Preferred (required after 180 days of employment). Associates degree in business or medical billing related field preferred by not required.

TRAINING AND EXPERIENCE:

Experience in computer operations. Previous experience in health care/ambulance billing. Office skills including typing, filing, bookkeeping. Excellent organizational skills; pleasant telephone manner. Ability to perform job with a minimum of direct supervision.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.