EMS Accounts Receivable & Insurance Billing Specialist
📍 Grand Junction, CO (Hybrid or Remote Options Available)

EMS Unlimited is a multi‑state medical transport and ambulance provider committed to operational excellence, compliance, and strong community partnerships. We are seeking an experienced Accounts Receivable & Insurance Billing Specialist who understands how to turn complex insurance AR into collected revenue.

This role is ideal for someone who enjoys problem‑solving, payer follow‑up, and making a measurable impact on an organization’s financial health.

What You’ll Do

• Own your AR work queue and actively resolve unpaid insurance claims
• Work directly with Medicare, Medicaid, VA/CCN, and commercial payers
• Resolve denials, submit appeals, and drive claims to payment
• Help reduce Days in AR and improve cash flow
• Partner with leadership to identify billing and payer trends

What We’re Looking For

• 5+ years of medical insurance AR experience
• EMS or ambulance billing experience is a major plus
• Strong knowledge of insurance follow‑up and denial management
• Someone who takes ownership and follows claims through to resolution

Why EMS Unlimited

• Revenue cycle leadership that understands billing realities
• A role where your work directly impacts financial stability
• Flexible work environment (hybrid/remote options)
• Competitive compensation based on experience
• Opportunity to grow into senior or lead AR roles

Position Title: EMS Accounts Receivable & Insurance Billing Specialist
Reports To: Billing Manager/President
FLSA Status: Non‑Exempt (Hourly) or Exempt (Salary – dependent on experience)
Work Location: Grand Junction/Rifle, CO; Hybrid or Remote (Colorado preferred)
Employment Type: Full‑Time

Compensation: Starting at $50,000/year; increases with experience. 

Position Summary

The EMS Accounts Receivable & Insurance Billing Specialist is responsible for managing, resolving, and collecting outstanding insurance and patient balances for ground ambulance and medical transport services. This role focuses heavily on insurance follow‑up, denial resolution, appeals, secondary billing, and AR aging reduction across Medicare, Medicaid, VA/CCN, commercial payers, and facilities.

This is a revenue‑critical role that directly impacts organizational cash flow, Days in AR, and net collections.

Essential Duties & Responsibilities

• Actively manage assigned insurance AR work queues with a focus on 30–120+ day balances
• Perform follow‑up with Medicare, Medicaid (traditional and managed care), VA/CCN, Railroad Medicare, and commercial payers
• Investigate and resolve claim denials, underpayments, and non‑adjudicated claims
• Submit corrected claims, appeals, reconsiderations, and medical necessity documentation
• Ensure timely secondary and tertiary billing
• Identify trends in denials, payer delays, and documentation gaps; escalate systemic issues
• Work closely with billing, coding, and operations teams to resolve root causes
• Maintain accurate account notes and documentation within the billing system
• Meet or exceed productivity and performance KPIs (Days in AR, resolution rates, appeal success)
• Maintain strict compliance with HIPAA, CMS, and payer‑specific billing requirements
• Assist with patient balance follow‑up and payment plan coordination as needed
• Participate in AR aging reviews and revenue cycle improvement initiatives

Required Qualifications

• Minimum 3–5 years of hands‑on medical insurance AR experience
• Proven experience with ambulance or EMS billing strongly preferred
• Deep working knowledge of:
  • Medicare (FFS, MA, Railroad)
  • Medicaid (traditional & managed care)
  • VA / CCN billing
  • Commercial insurance follow‑up
• Demonstrated success resolving denials and aged AR
• Strong understanding of EOBs, remittance advice, and payer portals
• Excellent written and verbal communication skills
• High attention to detail and strong documentation habits
• Proficiency with billing systems, spreadsheets, and Microsoft 365 tools

Preferred Qualifications

• Prior EMS or medical transport billing experience
• Experience working AR by payer class
• Familiarity with EMS‑specific modifiers, PCS requirements, and medical necessity rules
• CPC, CPB, or equivalent certification (preferred, not required)

Compensation: Starting at $50,000/year; increases with experience. 

Key Performance Indicators (KPIs)

• Days in AR reduction
• % of AR > 90 days
• Denial resolution rate
• Appeal success rate
• Timeliness of follow‑up and documentation accuracy

All information will be kept confidential according to EEO guidelines.