Manager, Facility Billing Operations

Description

Job Summary

The Manager, Facility Billing Operations is responsible for overseeing all billing, collections, and reimbursement processes related to EMS (Emergency Medical Services) facility contracts. This includes managing facility contract details, ensuring timely and accurate submission of claims, maximizing reimbursements, maintaining compliance with state and federal regulations, and leading a team of billing specialists. The manager serves as the key liaison between clients, payers, and senior leadership.

Major Responsibilities/Activities

• Oversee the full EMS billing process from charge capture to reimbursement, ensuring accuracy and compliance.
• Implement process improvements to enhance revenue capture, efficiency, and compliance.
• Oversee facility payer contracts in partnership with our clients, including rate updates, renewals, and compliance with negotiated terms.
• Supervise and lead the EMS billing team; provide training, performance evaluations, and development.
• Monitor key performance indicators (KPIs) such as days in A/R, denial rates, cash collections, and claim turnaround times.
• Ensure proper documentation and coding for ambulance transports per CMS and payer guidelines.
• Identify and resolve billing and reimbursement issues, denials, or payment delays.
• Collaborate with EMS leadership and operations to ensure documentation supports billing and compliance.
• Maintain and update knowledge of applicable laws, coding rules, Medicare/Medicaid guidelines, and commercial payer policies.
• Meet all month-end deadlines, including invoice submission, revenue recognition and reconciliation.
• Prepare reports for senior leadership regarding EMS revenue cycle performance, payer trends, and areas of improvement.
• Serve as the subject matter expert on all EMS facility contract billing regulations and reimbursement methodologies.
• Perform other duties as assigned.
  
  

Requirements

Required Education, Skills, & Experience

• Bachelor’s degree in Business, Healthcare Administration, Accounting, or related field required.
• Relevant certifications such as CAC, CPB, or CRCR preferred.
• Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in EMS or ambulance billing.
• Experience in managing teams and payer contract administration.
• Familiarity with EMS billing software (e.g., ESO, ZOLL, ImageTrend, or similar).
• Proficiency in English is necessary for job-related communication, including understanding policies, writing correspondence, and engaging with colleagues or clients.
  
  

Preferred Education, Skills, & Experience

• Strong understanding of EMS billing codes (e.g., HCPCS, ICD-10), non-emergency documentation requirements, and regulatory compliance.
• Excellent leadership, communication, and problem-solving skills.
• Proficient in MS Office (Excel, Word) and billing systems.
• Ability to interpret and manage payer contracts and analyze financial performance metrics.
  
  

Working Environment

• The office environment is a controlled indoor setting with minimal exposure to adverse conditions.
• Noise levels in the office are typically moderate and consistent with a standard office setting.
• For employees approved to work in a hybrid or remote setting, a quiet, private workspace free from significant distractions is required to ensure productivity during work hours.
• A reliable internet connection is required for hybrid/remote work. EMS|MC will provide necessary equipment, including a computer, monitor, keyboard, mouse and headset.
  
  

Physical Requirements

• Sitting: frequent and prolonged periods of sitting at a desk while working on a computer.
• Communication: frequent and prolonged periods of speaking, listening, reading, and writing.
• Fine motor skills: frequent use of hands for typing and operating a computer mouse.
• Movement: occasional walking and climbing of stairs; limited bending, kneeling, lifting, and carrying of office-related items.
• Travel: must be able to travel occasionally to attend required company meetings.
  
  

Pay range: $75,000 - $85,000 annually, with final compensation based on the candidate’s qualifications, experience, and business needs. Individuals in this role are eligible to participate in a discretionary bonus plan and a comprehensive benefit package, including a retirement plan, health coverage, and paid time off. Visit https://emsmc.com/careers/ to explore our total rewards package.

Employees must be able to perform the essential functions of this position. Reasonable accommodations will be provided to qualified individuals with disabilities as needed to support their ability to perform these essential functions. If you require an accommodation for this position or to participate in the application process, please contact HR at humanresources@emsmc.com.

The responsibilities and duties outlined in this job description are not exhaustive and may be subject to change to meet the needs of the business. This job description is not an implied contract of employment and does not alter the at-will employment relationship.