Under administrative review, the individual is responsible for posting received credits, zero-pays, understanding and processing revenue sources, and identifying and reporting revenue changes for clients. The Cash Application Specialist may perform clerical duties as needed, as well as participate in other projects or special assignments throughout the PBS Operations Department when appropriate. 

All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role. 

Responsibilities of the EMS Cash Application Specialist 

• Post payments to respective patient accounts and balance to check, day and client. 

• Read, analyze and process EOBs from Commercial, Auto, Workman’s comp, Government insurances adding contractual credits as applicable. 

• Balance to check, day and client all payments that were posted daily. 

• Detail posted-payment specification in notes as needed. 

• File and maintain paperwork pursuant to Cash Application under Minimum Necessary and HIPAA regulations and standards. 

• Collaborate with other departments by researching payments upon request. 

• Post and balance refunds when needed. 

• Assist with the clerical duties of the Cash Applications Team, including other representative’s tasks when needed. 

• Fulfil other related duties, as assigned by managerial or supervisory staff. 

• Audit zero-pay EOBs and process withholdings; balancing the checks. 

• Always ensure accuracy and attention to detail. 

• Abide by client regulations and post accordingly. 

• Meet posting per hour/day metrics and pass Quality Assurance screenings. 

• Demonstrates knowledge and compliance of insurance, local, state, and federal billing. 

• Ability to complete tasks efficiently both individually and in a group environment. 

• Handle assigned correspondence fulfilling any other duties as assigned by managerial staff. 

Key Skills of the EMS Billing Coordinator 

• Experience with numeric keypad; minimum of 9,000 KPI. 

• Posting payments with various health and auto insurance companies. 

• Well-versed with medical billing practices that include an understanding of insurance billing codes, regulations, and procedures. 

• Ability to investigate and resolve billing errors and disputes.  

• Effective communication skills with clients, insurance companies, patients, staff members and management.  

• Ability to manage multiple tasks and meet deadlines. 

• Must have great attention to detail with high accuracy. 

Qualifications

Minimum Qualifications of the EMS Cash Application Specialist 

• High school diploma or equivalent accepted, College Preferred 

• A minimum of 1-2 years of experience in: 

•   Revenue cycle collections required 

•   Insurance payment processing 

•   Insurance follow-up 

• Previous experience in EMS preferred, but not required. 

• Knowledge of CPT, ICD-9/10 and HCPCS codes. 

• Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment 

• Ability to “multi-task” and handle f air amount of stress when busy. 

• Ability to follow policies and procedures and identify outliers. 

• Ability to engage critical-thinking and identify trends. 

• Intermediate skills with Microsoft Office applications: Word, Excel

• Initiative to learn new tasks and the ability to apply acquired knowledge to future duties. 

• Flexibility, adaptability, and accountability are necessary for optimum client results