Medical / Ambulance Billing Specialist

At Coastal, what happens in the field matters—but what happens behind the scenes makes it possible.

We’re looking for a detail-driven Billing Specialist who thrives in a fast-paced healthcare environment and understands that accuracy, persistence, and communication directly support patient care. If you enjoy problem-solving, navigating complex claims, and seeing work through to resolution, this role is for you.

You’ll handle the full lifecycle of ambulance billing—from initial claim submission through final payment—ensuring accuracy, compliance, and timely reimbursement.

You’ll also contribute to a culture of accountability, teamwork, and continuous improvement aligned with our Just Culture philosophy.

• High school diploma or GED (required)
• Ambulance billing experience (preferred)
• Strong understanding of Medicare, Medicaid, Workers’ Comp, and insurance billing processes
• Excellent data entry accuracy and organizational skills
• Ability to manage competing priorities in a dynamic environment
• Strong communication and problem-solving skills
• Proficiency in Microsoft Office (Zoll experience a plus)

Certification Requirement:

• Must obtain CAAC certification within 6 months and maintain annually
• Must pass a Level 2 background check (AHCA compliant)

• 36–48 hours per week
• Rotating schedule with 12-hour shifts
• Primarily seated, office-based role

We invest in our people—because when our team is supported, our patients are too.

ALL employees receive:

• Company-paid gym membership
• Free BetterHelp mental health and wellness support
• Free continuing education (BCLS, ACLS, PALS, and more)
• 401(k) with company match (per plan eligibility)

Full-time employees also receive:

• Medical, Dental, and Vision insurance
• Company-paid Life, Short-Term, and Long-Term Disability insurance
• Optional additional life and dependent coverage
• Paid Time Off (PTO)
• 10 paid holidays annually (paid even if not scheduled)
• Tuition assistance and scholarship opportunities

You’re not just processing claims—you’re ensuring the financial health of a system that delivers critical care to the community. You take ownership, communicate clearly, and don’t let details slip through the cracks.

Coastal team members represent positivity, inclusivity, and a commitment to making meaningful connections—every day. We believe in accountability, adaptability, and supporting one another so everyone can succeed.

The schedule for this position is 36-48 hours weekly, on a rotating schedule. Shifts are 12-hours. All applicants will be required to become CAAC certified within 6 months, and maintain that certification annually thereafter; additionally, will be required to pass a Level 2 background check in accordance with AHCA.

An example schedule is below (shown for demonstration purposes only):

JOB TITLE: Billing Specialist

DEPARTMENT: Billing

REPORTS TO: Division Chief- Billing

SUMMARY: Correctly processes claims to obtain appropriate payment from insurance, facilities, Medicare and Medicaid as well as, all other resources including co-pay, deductibles, and private pay for patient transports. This process includes all duties from initial contact, invoicing, and telephone follow-up to receipt and posting of payment and processing voids, refunds, daily mail, filing and collection of outstanding balances other tasks as assigned.

All Coastal team members are expected to portray a positive presence to the community that is reflective of the company’s values of positivity, inclusivity, and most importantly, making connections for LIFE!

DUTIES AND RESPONSIBILITIES:

• This position is required to maintain the highest standards of confidentiality in regards to electronic records and all forms of proprietary information. Work products and/or protected information will not be shared or otherwise transferred outside of the company without the prior expressed consent of the President/CEO.
• Processes claims within the required timeframes to ensure timely filing.
  • Electronically bills patient claims through a clearinghouse. Monitors and maintains proper documentation to ensure compliance and proper payers are billed throughout the billing process.
  • Process and send HCFA 1500 forms and log all outgoing and incoming claims paid daily. Prepare Medicaid and CTEC claim forms and monitor for timely payment. Process HCFA claim forms required for filing Medicare secondary.
  • Correspond with patients, facilities and/or law firms regarding billing and medical records.
  • Apply for pre/post authorization on claims as needed. Collect any additional records/information needed by insurers to consider payment.
  • Obtain correct insurance information for filing a complete insurance claim.
  • Contact insurance companies to correct claim and/or payment errors. Prepare and submit thorough justification/documentation when processing reviews.
  • Request hearings on denied reviews that fall under Medicare guidelines for payment. Prepare for and hold hearings as a final collection effort on denied claims.
  • Maintains a safe and healthy workplace in accordance with all appropriate OSHA standards, company policies and standard operating procedures.
  • Observes and complies strictly with all HIPAA policies and regulations.
  • Attend internal/external meetings and/or public events as needed.
  • Performs other related duties as assigned by management.
  • Regular and prompt attendance is required.
  • Aligns with organization mindset of Just Culture.
  • Works with the organization to meet the standards set forth in CAAS.
  • Present professional appearance and demeanor.

SUPERVISORY RESPONSIBILITIES:

• This job has no supervisory responsibilities.

QUALIFICATIONS:

• High school diploma or general education degree (GED), required
• Background in Ambulance billing preferred, NAAC Certificates required within 6 months and annually thereafter.
• Current knowledge of the billing/claims processes required by various insurers including Medicare/Medicaid, Railroad, Workers’ Comp. and other insurers.
• Strong Data Entry skills.
  • Strong organizational skills; able to manage priorities and workflow.
  • Versatility, flexibility, and a willingness to work within constantly changing priorities.
  • Excellent verbal and written communication skills.
  • Must be able to read/write/speak/understand English language fluently.
  • Proficient in MS Office platforms, knowledge of Zoll platforms preferred
  • Standard/Specialized office equipment and software programs related to office processes.

COMPETENCIES:

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
• Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Communication – Speaks and writes clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly; Maintains confidentiality.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Occasionally required to stand/walk/stoop
• Frequently required to sit for prolonged periods
• Continually required to utilize hand and finger dexterity
• Frequently required to talk or hear
• The noise level in the work environment is usually quiet
• The employee must occasionally lift and /or move up to 15 pounds
• Coastal is a 24/7/365 operation. As a healthcare organization, any employee may be requested or required at times to work outside of their traditional ‘business hours’ as scheduled by management. This may include evenings, nights, weekends, holidays and/or man-made or natural disaster situations, such as hurricanes, tropical storms, or Mass Casualty Incidents (MCI).

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.