Ambulance Billing SpecialistWe are a growing ambulance company providing non-emergent transports in California. We operate in a high-volume environment and are seeking an experienced ambulance biller who can manage the full revenue cycle.This role is designed for someone who takes ownership of A/R, understands payer rules, and is accountable for results.Role SummaryThe Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up. This position plays a critical role in protecting company revenue and improving cash flow.Key ResponsibilitiesSubmit clean, accurate ambulance claims in a timely mannerEnsure compliance with CMS ambulance billing guidelinesReview documentation for medical necessity, PCS forms, narratives, and mileageManage accounts receivable and aggressively follow up on unpaid claimsResolve denials, underpayments, and rejectionsPrepare and submit appeals as neededPost and reconcile payments accuratelyIdentify trends in denials and underpayments and recommend corrective actionsCommunicate with operations and dispatch regarding documentation deficienciesTrack and report billing KPIs, including clean claim rate and A/R agingAssist with audits, payer requests, and compliance reviewsRequired Qualifications (Non-Negotiable)Minimum 2–3 years of ambulance billing experienceStrong knowledge of Medicare ambulance billing guidelines, Medi-Cal and managed care plans, Levels of Service Billing requirements, PCS forms and medical necessity documentation, Modifiers, base rates, and mileage billing, Strong working knowledge of ICD-10 diagnosis codesProven experience with denial management and appealsAbility to independently manage A/R and follow-upsHigh attention to detail and strong organizational skillsApplicants without ambulance-specific billing experience will not be considered.