BILLING VERIFICATION SPECIALIST - Michigan only

Job Summary

• The Billing Verification Specialist is responsible for the daily verification of all patient demographics and
• insurance for ambulance runs to be able to submit for coding of call and insurance or patient submission.

Essential Duties and Responsibilities

• ● Verify the type of call that you are working on. You must know if the call is a 911 call from home,
• motor vehicle accident (MVA), workman’s comp, hospice, hospital DRG, etc.
• ● Verify all patient information including name, date of birth, address, social security, patient
• signature.
• ● Verify patient insurance information if provided. If not provided, search necessary data bases.
• ● Check all scripts/ECIN for any missing or needed information.
• ● Make any needed calls to patients, facilities or patient family members to obtain needed
• information not provided.
• ● Must verify Medicare Part A stays for all patients in skilled nursing facilities.
• ● Move call to “ready to code” once all of the above information has been verified.

Knowledge, Skills and Abilities

• ● High School diploma or GED
• ● 2+ years’ experience as a coder
• ● Strong computer skills
• ● Data Entry skills
• ● CAC – Certified Ambulance Coder, preferred but not required
• ● Strong attention to detail
• ● Ability to work independently and collaboratively within a team environment
• ● Able to multi-task and meet tight deadlines
• ● Ability to decipher information from the CMS coding guidelines and apply the accurate
• information to patient information
• ● Strong grammar skills and/or the ability to check all work online
• ● Driven to accomplish assigned tasks
• ● Self-starter; requires minimal supervision
• ● Excellent communication skills (including verbal and written)
• ● Strong organizational abilities

Medstar Ambulance Inc Description

CAAS Number: Page: 2 of 2

Working Conditions and Physical Demands

• Physical: Normally assigned to work in an office environment, where there is minimal exposure to dust,
• dirt, noise, and the like. Must be able to sit for extended periods of time (90% of the work day).
• Occasionally stands to operate copy and fax machines.
• Visual Activity: Able to see and to discriminate detail in written documents and messages from a
• computer screen.
• Auditory Activity: Good skills to distinguish sounds like normal conversation levels.
• Sensory Activity: Normal motor skills required, such as being able to type on a computer keyboard and
• to drive an automobile.
• Verbal Activity: Ability to communicate clearly with a wide variety of employees and patients, families,
• co-workers.
• Work from Home: This position does allow for a “work from home” option. In order to work from
• home you must have a designated workspace
• Work from Home Eligible: Yes with Approval

Work from home approval will be granted when an employee demonstrates the following

• ● Proper phone, computer, internet connection and designated workspace free from noise and
• interruptions.
• ● Successful achievement of productivity and quality goals.
• ● Written approval and schedule from Billing Manager. Any deviation from approved work from
• home schedule must be pre-arranged in advance