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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 8/1/2022

JOB TITLE: EMS Billing Specialist

REPORTS TO: Department Supervisor

FLSA STATUS: Non-exempt

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

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  1. 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.
  2. Checks the patient care reports and associated documentation for completeness and proper signatures.
  3. Ensures that work is carried out in compliance with all policy and regulatory requirements.
  4. Interpret documentation and medical terminology to determine diagnosis codes, procedure codes, modifiers, charges, etc. and make adjustments as required.
  5. Determine defined payer requirements to facilitate claim acceptance.
  6. 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.

QUALIFICATIONS:

Education and Experience:

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

Skills and Abilities:

  1. Working knowledge of ambulance/medical procedures, submission of insurance claims, Medicare, Medicaid and other private insurance carriers.
  2. Ability to efficiently and effectively perform ambulance billing activities
  3. Prioritize work to meet goals and objectives within acceptable time frames
  4. Communicate effectively verbally, and in writing
  5. Handle sensitive information in an appropriate manner
  6. Excellent attention to detail
  7. Ability to research and analyze data
  8. Ability to work both independently and in a team environment
  9. 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.

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.

IV Manager - Posted 8/1/2022

JOB TITLE: Insurance Verification Manager

REPORTS TO: Vice President

FLSA STATUS: Exempt

JOB OVERVIEWResponsible for directing and coordinating the overall functions of the Insurance Verification department to ensure maximization of revenue. Oversee the staff and implement strategies to increase productivity by leveraging resources, with emphasis on technology and process utilization, while maintaining compliance with regulatory entities, Customer and AccuMed policy. 

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

  1. Oversees the operations of the Insurance Verification Department, encompassing demographics and valid insurance information
  2. Coordinates department activities to achieve Insurance Verification Department goals
  3. Serves as the subject matter expert and go to person for all insurance verification processes
  4. Plans and directs workload
  5. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings
  6. Collects and compiles accurate statistical reports for productivity, inventory, staffing levels and process improvements for the insurance verification department
  7. Audits current procedures to monitor and improve efficiency
  8. Ensures that the activities of the insurance verification operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State and payer regulations, guidelines and requirements
  9. Participates in the development and implementation of operating policies and procedures as it pertains to insurance verification
  10. Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the identification and implementation of specific systems and/or processes to enhance revenue and operating efficiency.
  1. Analyzes trends impacting charges, coding and billing and take appropriate action to realign staff and revise policies and procedures
  2. Keep up to date with carrier rule changes and distribute the information to staff
  3. Maintains a working knowledge of HIPAA and compliance regulations
  4. Maintains library of information/tools related to insurance verification
  5. Supervises department personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance
  6. Provides, oversees, and/or coordinates the provisions of training for new and existing insurance verification staff on applicable operation policies, protocols, systems and procedures, standards and techniques
  7. Performs Quality Assurance continuously and takes appropriate steps through training, procedures and policies to resolve any issues
  8. Coordinates team member time off in a manner that does not negatively impact necessary daily functions
  1. Performs other job-related duties as assigned

ADDITIONAL RESPONSIBILITIES:

  1. Address employee grievances in a timely manner
  2. Address client queries and provide prompt and exceptional client service
  3. Correspond with clients regarding necessary information needed to process claims
  4. Schedule weekly department meetings
  5. Assist other supervisors with questions

QUALIFICATIONS:

Education and Experience:

  1. Bachelor degree or equivalent experience.
  2. Five years ambulance/medical billing experience
  3. Three years management experience

Skills and Abilities:

  • Skill in establishing and maintaining effective working relationships with peers, subordinates and clients
  • Skill in developing, implementing, and administering work processes
  • Detail oriented and tolerant of frequent interruptions and distractions from clients and staff
  • Effectively communicate with clients, colleagues and staff
  • Positive attitude and self-motivation, strong accountability and ownership. Able to receive constructive feedback
  • Maintain confidentiality around sensitive information that other employees may not be privy to
  • Demonstrates excellent internal and external customer service skills. Manages difficult or emotional situations; responds promptly to client and subordinate needs
  • Ability to work under minimum supervision and demonstrate strong initiative
  • Ability to supervise and train employees, to include organizing, prioritizing and scheduling work assignments to meet practice timelines
  • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position
  • Ability to make independent decisions when circumstances warrant; make prompt and accurate judgments regarding AR, billing and other office duties
  • Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy
  • Ability to effectively motivate and inspire positive employee performance and cooperation, develop subordinates’ skills and encourage growth
  • Ability to conceptualize work flow, develop plans, and implement appropriate actions
  • Ability to communicate effectively in writing, over the telephone and in personProficient in Microsoft Office, including Outlook, Work and Excel

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, stand, 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 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.

Insurance Verification Specialist - Posted 8/1/2022

JOB TITLE: Insurance Verification Specialist

REPORTS TO: Department Supervisor

FLSA STATUS: Non-exempt

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…

  1. Strong organizational skills
  2. Data Entry skills
  3. Ability to research and analyze data
  4. Ability to work both within a team and independently with minimal supervision
  5. 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.

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.

Mail Return Specialist - Posted 8/1/2022

JOB TITLE: Mail Return Specialist

REPORTS TO: PAS Department Manager

FLSA STATUS: Non-exempt

 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.

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.

Patient Account Service Specialist - Posted 8/1/2022

JOB TITLE: Patient Account Service Specialist  

REPORTS TO: Department Supervisor

FLSA STATUS: Non-exempt

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. 

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.

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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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