Medical / Ambulance Billing Specialist

Job Description

Job DescriptionMake an impact behind the scenes of lifesaving care.

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

We’re seeking a detail-driven Medical Billing Specialist who understands that accuracy, persistence, and technical expertise directly support patient care. This role is responsible for handling the full lifecycle of ambulance billing, from claim creation through final resolution.

If you have hands-on billing experience and take ownership of your work from start to finish, this is an opportunity to contribute in a meaningful, high-impact way.

⚠️ Required Experience – Please Read Before Applying

This position requires direct, hands-on medical billing experience, including:

• Claim submission through a clearinghouse
• Working knowledge of CPT and ICD-10 coding
• Payment posting and EOB reconciliation
• Denial follow-up and appeals

Experience limited to front desk, scheduling, insurance verification, prior authorizations, call centers, or clinical roles (CNA/MA/etc.) without direct billing/coding responsibilities does NOT meet the requirements for this role.

What You’ll Do

You will manage ambulance billing from start to finish, ensuring timely and accurate reimbursement while maintaining compliance with all payer requirements.

Key responsibilities include:

• Submit electronic claims via clearinghouse and monitor for accuracy and timeliness
• Assign and validate appropriate billing codes based on documentation
• Process HCFA 1500 and other required claim forms
• Post payments and reconcile EOBs
• Investigate and resolve claim denials, including appeals and hearings when applicable
• Communicate with insurance carriers, patients, facilities, and legal entities regarding billing matters
• Obtain and verify insurance and authorization requirements
• Maintain thorough documentation to support compliance and reimbursement
• Manage outstanding balances and follow through to resolution
• Support audits, reporting, and continuous process improvement

What You Bring

• High school diploma or GED (required)
• Proven experience in medical billing (required)
• Ambulance billing experience (preferred)
• Strong working knowledge of:
  • Medicare, Medicaid, Workers’ Compensation, and commercial payers
  • Claim submission, edits, and reimbursement processes
• High attention to detail and data accuracy
• Ability to manage multiple priorities in a fast-paced environment
• Strong communication and problem-solving skills
• Proficiency in Microsoft Office (Zoll experience a plus)

Certification Requirements

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

Schedule & Work Environment

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

As a 24/7/365 healthcare organization, flexibility may be required, including evenings, weekends, holidays, or emergency response situations.

Why Coastal?

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:

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

What Sets You Apart

You don’t just process claims—you take ownership of outcomes. You understand how your work impacts revenue integrity and patient care, and you follow through until issues are resolved. You communicate clearly, stay organized under pressure, and hold yourself to a high standard of accuracy and accountability.

Who We Are

Coastal team members represent positivity, inclusivity, and a commitment to making meaningful connections—every day. We operate under a Just Culture philosophy, emphasizing accountability, learning, and continuous improvement.

Position Summary

Correctly processes claims to obtain appropriate reimbursement from all payer sources, including insurance carriers, Medicare, Medicaid, and private pay. Responsibilities include claim submission, follow-up, payment posting, account resolution, and maintaining compliance with all applicable regulations.

Additional Expectations

• Maintain strict confidentiality of all protected and proprietary information
• Adhere to HIPAA, OSHA, and company policies
• Demonstrate professionalism in all communications
• Maintain regular and reliable attendance
• Support organizational goals and departmental standards

Physical Requirements

• Primarily seated with prolonged computer use
• Occasional standing, walking, and lifting (up to 15 lbs)
• Frequent use of hands, hearing, and verbal communication

Final Note

This is a technical billing role, not a front-end administrative position. Candidates should be comfortable working independently within the revenue cycle and navigating complex claims through to resolution.

12-hour shifts on a rotating 3-2-2 schedule
12 hours per day, excluding meal breaks; 3-4 shifts weekly (84 hours per pay period)