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Proven, Expert Partners

EMS & Ambulance Billing and Claims Solutions

Join The AccuMed Group Professional Team

The AccuMed Group is an industry-leading EMS Medical Claims Management service. Our company is dedicated to helping our customers maximize their net revenue, while remaining fully compliant with all regulatory requirements. That takes innovative, highly effective processes delivered by our profession’s leading experts. We settle for nothing less than superior performance and exceptional customer service.

Our core value system revolves around honesty, integrity, commitment and accountability. We welcome applicants who share a common interest in our value system, have earned or are pursuing a degree in the medical billing field or have a minimum of three year’s relative experience.

Current Openings

We believe you will find our culture to be supportive, empowering and pleasant. Our benefit and wage structures are very competitive and enhanced by flexible working schedules. We look forward to meeting you.

EMS Billing Specialist - Posted 2/3/21

Description: 

Performs a wide range of ambulance billing duties, including preparation of ambulance claims, interacting with numerous insurance companies, including Medicare, Medicaid and BCBS.

Responsibilities: 

  • Receives and reviews patient care reports and associated documentation from the client and determine if medical necessity requirements have been met based on information provided and carrier specifications.
  • Checks the patient care reports and associated documentation for completeness and proper signatures.
  • Ensures that work is carried out in compliance with all policy and regulatory requirements.
  • Interpret documentation and medical terminology to determine diagnosis codes, procedure codes, modifiers, charges, etc. and make adjustments as required.
  • Determine defined payer requirements to facilitate claim acceptance.
  • Expected to protect the privacy of all patient information in accordance with the department’s privacy policies, procedures, and practices, as required by federal and state law, and in accordance with general principles of professionalism.

Requirements: 

QUALIFICATIONS:

Education and Experience:

  • High school diploma or equivalent.
  • Associate degree preferred.
  • Three years ambulance/medical billing experience.

Skills and Abilities:

  • Working knowledge of ambulance/medical procedures, submission of insurance claims, Medicare, Medicaid and other private insurance carriers.
  • Ability to efficiently and effectively perform ambulance billing activities
  • Prioritize work to meet goals and objectives within acceptable time frames
  • Communicate effectively verbally, and in writing
  • Handle sensitive information in an appropriate manner
  • Excellent attention to detail
  • Ability to research and analyze data
  • Ability to work both independently and in a team environment
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and talk or hear, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and stoop, crouch, and kneel. The employee is occasionally required to walk and lift and/or move up to 20 pounds. Specific vision abilities required by this job include close, color, and peripheral vision, and the ability to adjust focus.

Accounts Receivable Specialist - Posted 8/24/21

JOB OVERVIEW: 

The Accounts Receivable Specialist works individually and within a team to secure revenue by verifying and posting receipts and resolving discrepancies, provides financial, administrative and clerical services in order to ensure effective, efficient and accurate financial and administrative operations.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  1. Posts insurance and patient payments by recording cash, checks, EFT’s and credit card transactions
  2. Posts revenues by verifying and entering transactions from lock box and local deposits
  3. Prepares deposits for bank and process deposit receipts
  4. Verifies validity of account discrepancies by obtaining and investigating information from other departments
  5. Resolves issues with patient accounts and insurance companies
  6. Handles over payments
  7. Replacement Void claims when warranted
  8. Posts deductibles and co-insurance
  9. Claim resubmission for payments other than anticipated
  10. Identify inaccurate payments and work them
  11. Generates monthly financial statements and reports detailing paid and unpaid invoices
  12. Maintains a filing system for all financial documents

ADDITIONAL RESPONSIBILITIES:

  1. Prepares weekly reports for specified clients
  2. Handles client calls regarding questions pertaining to payments and/or invoices
  3. Maintains a filling system for all financial documents
  4. Protects organizations value by keeping information confidential
  5. Updates job knowledge by participating in educational opportunities
  6. Other administrative duties as assigned

QUALIFICATIONS:

Education and Experience:

  1. High school diploma or equivalent

Skills:

  1. High attention to detail
  2. Strong organizational skills
  3. Data Entry skills
  4. General Math skills
  5. Ability to research and analyze data
  6. Ability to work independently with minimal supervision
  7. Strong verbal and written communication skill
  8. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, walk and talk or hear, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and stoop, crouch, and kneel. The employee is occasionally required to lift and/or move up to 20 pounds. Specific vision abilities required by this job include close, color, and peripheral vision, and the ability to adjust focus.

The noise level of this job is usually moderate.

Insurance Verification Specialist - Posted 8/24/21

JOB OVERVIEW:

The Insurance Verification Specialist works individually and within a team to obtain accurate and timely verification of patient’s insurance eligibility.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  1. Verify, update or obtain patient demographic information.
  2. Verify, update or obtain patient insurance information from information provided by clients, contacting insurances companies, hospitals, or patients by internet, phone call or fax.
  3. Determine primary payors depending on coverage and circumstances of run. (MVA, Hospice, Work Comp, etc…)
  4. Review signatures on run reports and determine if requirement has been met. Add appropriate alert and note to trip.
  5. Add groups to customers as necessary.
  6. Report trends, issues, potential problems to supervisor.
  7. Complete documentation reports.
  8. Adhere to insurance industry and patient confidentiality rules.
  9. Perform other duties as assigned by supervisor.

ADDITIONAL RESPONSIBILITIES:

  1. Protects organizations value by keeping information confidential
  2. Updates job knowledge by participating in educational opportunities
  3. Other administrative duties as assigned

QUALIFICATIONS:

Education and Experience:

  1. High school diploma or equivalent
  2. Experience working with Medicare, Medicaid and other insurances

Skills:

  1. Knowledge of different types of insurance coverage and policies – Medicare, Medicaid, BCBS, Auto, Work Comp, Commercial, etc…
  2. Strong organizational skills
  3. Data Entry skills
  4. Ability to research and analyze data
  5. Ability to work both within a team and independently with minimal supervision
  6. Strong verbal and written communication skills

      PHYSICAL DEMANDS AND WORK ENVIRONMENT:

      The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

      While performing the duties of this job, the employee is frequently required to sit, walk and talk or hear, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and stoop, crouch, and kneel. The employee is occasionally required to lift and/or move up to 20 pounds. Specific vision abilities required by this job include close, color, and peripheral vision, and the ability to adjust focus.

      The noise level of this job is usually moderate.

      Mail Return Specialist - Posted 8/24/21

      JOB OVERVIEW: 

      Primarily responsible for processing incoming mail returns.

      ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

      1. Sort and process mail returns daily
      2. Print and work Dantom reports
      3. Work skip-trace schedule
      4. Locate insurance information, verify and add to account
      5. Update addresses in system
      6. Maintain working knowledge of insurances, insurance websites, filing limits, RescueNet, Emdeon Assistant Web and participate in all related training
      7. Maintain daily count data

      ADDITIONAL RESPONSIBILITIES:

      1. Run TLO search
      2. Email coworkers regarding accounts
      3. Notify manager of errors
      4. Merge accounts

      QUALIFICATIONS:

      Education:

      1. High school diploma or equivalent.

      Skills:

      1. Ability to organize and prioritize work and manage multiple priorities.
      2. Excellent verbal and written communication skills including, letters, memos and emails.
      3. Excellent attention to detail.
      4. Ability to research and analyze data.
      5. Ability to work independently with minimal supervision.
      6. Ability to establish and maintain effective working relationships with management, staff, and contacts outside the organization.
      7. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

      PHYSICAL REQUIREMENTS:

      Hearing: Adequate to perform job duties in person and over the telephone.

      Speaking: Must be able to communicate clearly to clients in person and over the telephone.

      Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.

      Other: Requires occasional lifting and carrying items weighing up to 20 pounds unassisted.

      Requires frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.

      Patient Account Service Specialist - Posted 8/24/21

      JOB OVERVIEW: 

      Works individually and within a team to locate and notify guarantors and/or third party payers of delinquent accounts to solicit payment.  Contacts patients and responsible parties to resolve past due accounts, investigate account status and initiates collection.

      ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

      1. Answers incoming phone calls to gather insurance information, gather guarantor information, negotiate payments for full balance and monthly payment plans, process credit card payments and discuss hardship/dispute accounts
      2. Initiates outgoing calls to verify insurance information provided by patients
      3. Patient Statements
      4. Ability to work flexible schedules to ensure phone coverage

      ADDITIONAL RESPONSIBILITIES:

      1. Work bankruptcies weekly; identify patients and/or guarantors for Chapter 7 & 13, roll to appropriate schedule according to client’s collections criteria
      2. Probate/Notice to Creditors; note accounts on all information received and all actions taken and send out collection detail reports to personal representatives
      3. Process all email and fax information received from patients and clients accordingly
      4. Process all medical record requests from insurance companies and attorneys
      5. Handle overflow calls from Detroit office when needed
      6. Process all verifications of medical expense forms received in a timely manner
      7. Courtesy billing for collection agencies

      QUALIFICATIONS:

      Education and Experience:

      1. High school diploma or equivalent
      2. Two years of medical billing experience
      3. Two years of medical collections experience
      4. Two years customer service experience

      Skills:

      1. Knowledge of medical terminology
      2. Perform data entry on a computer keyboard quickly and accurately
      3. Demonstrated passion for excellence with respect to treating and caring for patients
      4. Ability to communicate clearly and professionally, both verbally and in writing
      5. Ability to multi-task
      6. Excellent attention to detail
      7. Ability to research and analyze data
      8. Ability to work independently with minimal supervision
      9. Able to handle complaints and unpleasant patients
      10. Working knowledge of third party payer procedures and collection techniques
      11. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources

      PHYSICAL DEMANDS AND WORK ENVIRONMENT:

      The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

      While performing the duties of this job, the employee is frequently required to sit, walk and talk or hear, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and stoop, crouch, and kneel. The employee is occasionally required to walk and lift and/or move up to 20 pounds. Specific vision abilities required by this job include close, color, and peripheral vision, and the ability to adjust focus.

      The noise level of this job is usually moderate.

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        The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
        The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
        The AccuMed Group is committed to offering equal employment opportunities in all of its employment practices. The Company does not discriminate on the basis of race, color, religion, sex, orientation, national origin ancestry, age, disability or any other category protected by applicable federal, state or local law. The Company is committed to ensuring that non-discrimination applies to all areas of employment. Employees are hired based solely on The AccuMed Group’s personnel requirements and the qualifications of each individual candidate.

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