This position is Onsite. Our office is located at 9201 Basil Ct, Largo, MD, 20774.
Optum Insight
is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start
Caring. Connecting. Growing together.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 9201 Basil Ct, Largo, MD, 20774.
We offer 3 weeks of paid on-the-job training. The hours during training will be 8:30am - 5:00pm EST, from Monday - Friday. Training will be conducted on - site.
Primary Responsibilities
- Coordination and implementation of Emergency Medicine Services (EMS) billing and regulatory compliance activities
- Coordination of all aspects of EMS, and regulatory / billing compliance requirements
- Training of EMS staff to ensure regulatory and / or billing compliance
- Ensure that the EMS staff are appropriately training in the required aspects and are operating effectively
- Coordinate and implement all Emergency Medical Services (EMS) billing and regulatory compliance activities.
- Ensure quality and accuracy of EMS billing processes and compliance requirements.
- Train EMS staff on all regulatory, billing, and documentation requirements; ensure staff are operating effectively and meeting standards.
- Prepare and deliver all required month end reporting, including but not limited to:
- 001P Excel Version Executive Summary Reports (ESR)
- 0366 Finance Officer Summary (EFO)
- 0365 Administrator Summary (EFA)
- Client Run Reconciliation reports for all transports exported from Image Trend
- Revenue distribution by level of service (LOS)
- Reports of all charges, receipts, provider affiliation, vehicle affiliation, and ownership/maintenance
- Compile and maintain a list of denied claims and corresponding payer denial descriptions.
- Generate report suites showing all imported transports and their current billing/coding status.
- Monitor and return transports missing required coding or billing elements.
- Send deposit logs to PGFD for all revenue posted to Lockbox, EFT, refunds, and VA.
- Analyze LOS performance and payer mix to identify variances, anomalies, or trends.
- Monitor days in A/R and review account processing.
- Review all systematic and manually keyed write offs.
- Determine whether Courtesy Transports qualify for billing or must remain non billable.
- Ensure all client return corrections are processed for billing.
- Respond to incoming inquiries related to ambulance billing.
- Fulfill periodic requests for specialty EMS reports.
- Schedule and conduct an annual revenue performance meeting with the Fire Chief, ESC, ASC, and EMS leadership.
- Ensure all provider and vehicle affiliations are correct and updated in all systems.
- Address data concerns related to revenue splits; work with VSC on anomalies and required corrections.
- Prepare and send refund packages with required supporting documentation.
- Maintain inventory, process repair requests, and provide PGFD with all damage reports.
- Ensure EMS software is current; manage updates, small hardware issues, and repair orders.
- Respond to questions about current status of ambulance transport run reports.
- Provide status updates for ambulance transports in EMS coding.
- Process requests for revenue information and reporting from MDIV.
- Provide copies of statements and information regarding patient communications when requested.
- Send monthly service fee invoices to pgfdinvoices@co.pg.md.us.
- Process all Ambulance Billing mail received onsite and route accordingly.
- Ensure PGFD receives all EMS Billing updates and provide training when needed.
- Maintain billing operations during regular hours (0830-1700, Monday-Friday), following vendor holiday schedules.
- Travel between fire stations as needed
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience with medical/healthcare billing.
- 1+ years of experience in EMS and / OR Ambulance Revenue Cycle processes
- Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
- Must have a valid Driver's license
- Ability to work onsite at 9201 Basil Court, Largo, MD 20774
- Ability to travel up to 50% of the time (domestic)
- Ability to work Monday - Friday, 08:30am - 05:00pm EST
Preferred Qualifications
- Experience with Medicare and Medicaid programs
- CAC Certified Ambulance Coder Certification
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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