No Surprises Act (NSA) Air Ambulance Billing Specialists

Job Title: No Surprises Act (NSA) Air Ambulance Billing Specialist

Job Summary

The No Surprises Air Ambulance Billing Specialist is responsible for ensuring full compliance with the No Surprises Act (NSA) for air ambulance services. This role manages billing, reimbursement, patient communications, and dispute resolution processes related to out-of-network air ambulance claims. The specialist works closely with payers, providers, legal/compliance teams, and revenue cycle staff to ensure accurate billing, timely payment, and regulatory adherence.

Key Responsibilities

• Ensure compliance with the No Surprises Act and related federal and state regulations for air ambulance billing

• Review air ambulance claims to identify NSA applicability and proper patient cost-sharing limitations

• Prepare, submit, and track claims to commercial payers, government payers, and third-party administrators

• Manage the Independent Dispute Resolution (IDR) process, including documentation, submissions, deadlines, and follow-up

• Communicate with insurance carriers regarding payment determinations, negotiations, and appeals

• Respond to patient inquiries regarding surprise billing protections and billing statements

• Coordinate with internal teams (billing, coding, legal, compliance, and clinical operations) to resolve claim issues

• Maintain accurate documentation and audit trails for compliance and reporting purposes

• Monitor regulatory updates and payer policy changes affecting air ambulance reimbursement

• Assist with internal audits, reporting, and compliance reviews related to NSA billing

Skills & Competencies

• Strong attention to detail and accuracy

• Excellent written and verbal communication skills

• Ability to interpret complex regulations and payer policies

• Effective time management and deadline tracking

• Professional and empathetic patient communication

• Ability to work independently and collaboratively