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Activity Project Manager - EMS Billing Manager

County of Volusia
Holly, FL Full Time
POSTED ON 12/17/2025 CLOSED ON 3/14/2026

What are the responsibilities and job description for the Activity Project Manager - EMS Billing Manager position at County of Volusia?


The County of Volusia is seeking an Activity Project Manager - Working Title: EMS Billing Manager for Treasury and Billing Division. This position will be highly responsible work administering the operations of the county’s emergency medical services billing office, ensuring timely and accurate billing for the county and contracted municipal agencies.

*Expected hiring range for a well-qualified applicant is $90,000-$110,000
**Pay range includes certification pay if eligible.

(Note: These are intended only as illustrations of the various type of work performed. The omission of specific duties does not exclude them from the position.)

  • Manage and lead a team of professional coders, collections representatives, and accounting staff.
  • Ensure compliance with Health Insurance Portability and Accountability Act (HIPAA), federal and state regulations, (as it relates to ambulance billing) through the supervision of staff and consistent audit/review of their work product.
  • Serve as the primary billing contact for County Emergency Medical Services (EMS), County Fire, and contracted municipal transport agencies.
  • Implement best practices in billing and collection in order to maximize the revenue cycle, while maintaining industry compliance standards.
  • Monitor team performance, provide feedback and conduct performance reviews.
  • May be assigned to other county locations based upon operational needs.
  • Attends work on a regular and consistent basis.
  • Must adhere to Federal, State, County and Local ordinances.
  • Responds to emergency situations.
  • Performs other duties as assigned.

Graduation from high school or possession of GED and nine (9) years of progressively responsible ambulance billing and/or ambulance billing auditing experience and experience in managing a medium to large sized diverse team of individuals. 

OR

Bachelor's degree in Accounting, Business Administration, Public Administration, or related field and five (5) years of progressively responsible experience. 

A comparable amount of education, training, or experience may be substituted for the minimum experience.

Must not be excluded from participating as health care provider in insurance programs including, but not limited to, Medicare and Medicaid prior to and during employment at the County of Volusia.

Must possess a valid driver's license at the time of hire.

Must obtain a valid Florida driver's license within 30 days of hire and maintain thereafter.


The preferred candidate will possess a Certified Ambulance Coder (CAC) and a Certified Ambulance Compliance Officer (CACO) certification.

  • Knowledge of Health Insurance Portability and Accountability Act (HIPAA) privacy rules and standards.
  • Knowledge of ambulance transport documentation.
  • Knowledge of CPT and ICD 10 codes.
  • Knowledge of Medicare and Medicaid rules and regulations.
  • Knowledge of medical and ambulance coding and compliance.
  • Knowledge of medical billing software.
  • Knowledge of medical terminology.
  • Knowledge of terms, limitations, and responsibilities of collecting outstanding accounts under the Fair Debt Collection Practices Act.
  • Knowledge of services covered under Medicare, Medicaid, and other third-party claimants.
  • Knowledge of the principles and practices of public administration, including EMS program operations, governmental budgeting, revenue and billing oversight, fiscal controls, and compliance.
  • Knowledge of research techniques and availability of current information.
  • Ability to exercise judgment and discretion in establishing, applying, and interpreting policies and procedures.
  • Ability to establish and maintain effective working relationships with associates, subordinates, public officials, other governmental agencies, and the general public.
  • Ability to supervise subordinate staff and assign work.
  • Ability to prepare and analyze budgetary tools and documents.
  • Ability to express ideas clearly and concisely, orally and in writing to groups and individuals.
  • Ability to respond to emergency situations.
  • Ability to work under stressful conditions.
  • Must be able to relocate to other county locations based upon operational needs.

ADA REQUIREMENTS

Mental Demands: Ability to read and comprehend professional manuals, legal documents, ordinances, statutes; instructions, reports, abstracts, financial reports, letters, and summaries. Ability to write reports, evaluations, summaries, letters, financial reports, procedures, and policies. Ability to perform advanced mathematical functions. Ability to speak publicly and extemporaneously; conversant in policies, techniques and procedures of discipline. Ability to analyze data and develop conclusions. Ability to identify and resolve problems.

Physical Demands: Ability to speak and hear. Visual acuity (peripheral vision, depth perception) necessary to operate a motorized vehicle. Finger dexterity. Ability to bend, stoop, and reach. Ability to push, pull and/or carry 15 pounds.

Environmental Demands: Primarily inside work.

Volusia County is a drug free workplace and an Equal Opportunity Employer committed to a diverse workforce. Veterans' preference in accordance with federal, state, and local laws.

Salary : $75,490 - $110,640

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