ProTransport-1 Ambulance

Billing Specialist

• Review transports for completeness and accuracy before pre-billing, including patient demographics, pickup/drop-off information, timestamps, mileage, reason for transport, authorization numbers, required monitoring/treatment, and signatures
• Establish and verify insurance eligibility and designate the correct primary payor
• Verify and assign contract guidelines to applicable transports
• Partner with crews and station management to obtain or verify invalid or missing documentation
• Communicate with facilities and Operations to obtain completed facility RN notes
• Obtain billing claim information from third-party websites, hospitals, and facilities
• Ensure the appropriate level of service is sent to billing for coding and supported by documentation
• Request prior authorizations for state programs and health plans using payer portals or forms
• Create weekly/monthly tracking reports for Operations
• Review weekly TBA transport reports for proper billing
• Maintain knowledge of facility contracts
• Assist management with facility-related training materials
• Perform other duties as assigned

Explore Facility Pre-Billing Specialist – Revenue Cycle at ProTransport-1 Ambulance. Review requirements and application details.

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Facility Pre-Billing Specialist – Revenue Cycle