Medical Billing Specialist

Under general supervision of the Chief and Assistant Chief, EMS Billing Liaison acts as the primary point of contact between Pender County Emergency Services and its contracted third-party EMS billing company. This position is responsible for ensuring accurate, complete, and timely submission of billing documentation for all patient transports. The liaison facilitates communication between field crews, the performance improvement officer, and the billing vendor to support efficient revenue cycle operations, maximize reimbursements, and maintain compliance with industry standards and payer requirements.• Review and verify patient care reports (PCRs) for accuracy, completeness, and compliance prior to billing submission.
• Coordinate with EMS crews to resolve missing or incomplete documentation that may delay claim processing.
• Track and monitor the flow of billing data, claims submissions, and payment activity.
• Communicate regularly with the billing vendor to review account status, resolve denials, and address outstanding claims.
• Identify and report trends or recurring documentation issues that affect billing accuracy or timeliness.
• Assist with reconciliation of deposits, remittance reports, and monthly billing summaries.
• Ensure compliance with HIPAA, Medicare, Medicaid, and commercial insurance billing regulations.
• Maintain accurate records of all billing communications, audits, and resolutions.
• Support management with revenue reports, performance metrics, and process improvement recommendations.
• Provide feedback and occasional training reminders to field staff on documentation standards that affect billing quality.
• The EMS Billing Liaison also performs all other duties as assigned.
• Coordinate with Pender County Finance Department to ensure accurate billing.• Solid understanding of EMS billing regulations, payer requirements, and medical terminology.
• Proficiency with EMS ePCR systems and billing software.
• Strong attention to detail and organizational skills.
• Ability to communicate effectively with field staff, vendors, and leadership.
• Analytical mindset with ability to interpret billing and reimbursement data.
• Commitment to confidentiality and compliance.
• Ability to speak and write English language.
• Excellent verbal and written communication skills.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Excellent organizational skills and attention to detail.
• Proficient with Microsoft Office Suite or related software.
• Maintain a professional demeanor at all times while communicating with the general public, outside vendors, and staff.
• Must possess a professional phone etiquette and an ability to speak clearly and to be easily understood.
• Ability to pay attention to detail.
• Reports to the Business Officer and Emergency Services Director.


REQUIRED QUALIFICATIONS:
• At least 18 years of age
• Eligible for employment in the United States
• High school diploma or GED required
• Associate degree in Business Administration, Healthcare Management or related field preferred
• Possession of a valid Driver’s license.
• Successful completion of background and driving record screening
• Successful completion of drug screening• Office based environment with regular computer use.
• Prolonged periods of sitting at a desk and working on a computer.
• Occasional travel to vendor meetings or conferences required.
• Full-time schedule; may require flexible hours during billing cycles or audits.