Manager, Facility Billing Operations

Job not on LinkedIn

October 7

Apply Now

Receive Emails with Similar Jobs

EMS Management & Consultants, Inc.

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Compliance • SaaS

EMS Management & Consultants, Inc. (EMS|MC) is a company that specializes in providing comprehensive operational solutions for over 1,500 emergency medical services (EMS) providers across the United States, including hospital systems, municipalities, and private companies. Founded by professionals within the EMS industry, EMS|MC offers services designed to optimize reimbursement, resources, and regulatory compliance. With more than 25 years of experience, the company leverages technologies like EMsmart, a SaaS-driven billing solution, to enhance revenue performance for EMS agencies. EMS|MC also works closely with the PWW Advisory Group to ensure compliance with the ever-changing regulatory landscape, providing tools and educational resources to EMS providers.

501 - 1000 employees

⚕️ Healthcare Insurance

📋 Compliance

☁️ SaaS

📋 Description

• Oversee the full EMS billing process from charge capture to reimbursement, ensuring accuracy and compliance. • Implement process improvements to enhance revenue capture, efficiency, and compliance. • Oversee facility payer contracts in partnership with our clients, including rate updates, renewals, and compliance with negotiated terms. • Supervise and lead the EMS billing team; provide training, performance evaluations, and development. • Monitor key performance indicators (KPIs) such as days in A/R, denial rates, cash collections, and claim turnaround times. • Ensure proper documentation and coding for ambulance transports per CMS and payer guidelines. • Identify and resolve billing and reimbursement issues, denials, or payment delays. • Collaborate with EMS leadership and operations to ensure documentation supports billing and compliance. • Maintain and update knowledge of applicable laws, coding rules, Medicare/Medicaid guidelines, and commercial payer policies. • Meet all month-end deadlines, including invoice submission, revenue recognition and reconciliation. • Prepare reports for senior leadership regarding EMS revenue cycle performance, payer trends, and areas of improvement. • Serve as the subject matter expert on all EMS facility contract billing regulations and reimbursement methodologies. • Perform other duties as assigned.

🎯 Requirements

• Bachelor’s degree in Business, Healthcare Administration, Accounting, or related field required • Relevant certifications such as CAC, CPB, or CRCR preferred • Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in EMS or ambulance billing • Experience in managing teams and payer contract administration • Familiarity with EMS billing software (e.g., ESO, ZOLL, ImageTrend, or similar) • Proficiency in English is necessary for job-related communication, including understanding policies, writing correspondence, and engaging with colleagues or clients.

🏖️ Benefits

• discretionary bonus plan • comprehensive benefit package, including a retirement plan • health coverage • paid time off