Accounts Receivable Specialist – EMS Billing

Accounts Receivable Specialist – EMS Billing (Hybrid or Remote after 90 Days)

Location: Terrell, TX | Schedule: Full-time, Monday–Friday, 8am-5pm

Help keep Texas first responders funded

When a fire department or EMS agency answers a call, we make sure they get paid for it. Founded in 2006, Emergicon is the largest emergency medical billing company in Texas. We serve agencies of every size, from small rural services to major Texas cities.

Our culture is "service-first," built on hard work, accountability, and kindness. We work as "One Team. One Sound." and there's real room to grow if you want to make an impact in the EMS industry.

What you'll do

As an Accounts Receivable Specialist, you'll follow up on claims so our clients get every dollar they're owed. You'll work with insurance carriers and patients, spot trends, and help fix problems before they grow.

• Work claims over 60 days old on the A/R reports, with a focus on timely resolution
• Work assigned denials and correspondence
• Check claim status using clearinghouse and insurance portals
• Prepare corrected claims and appeals
• Make and take calls with insurance carriers and patients
• Spot trends in denials and payments and report them to your lead or manager
• Process refunds according to payer and state requirements
• Follow HIPAA and applicable state and federal collection laws
• Live out Emergicon's core values every day
• Other duties as assigned

How you'll work

You'll start in our Terrell, TX office for a 90-day onboarding period with hands-on training. After you finish onboarding, you're eligible for hybrid or fully remote work. Remote team members must live in Texas.

You'll report to the Accounts Receivable Manager and work closely with teams across the company.

What you'll need

• High school diploma or GED
• [2+] years of medical billing or A/R experience
• Working knowledge of Medicare, Medicaid, and commercial insurance, including managed care plans
• Understanding of Medicare and Medicaid fee schedules
• Ability to read EOBs and ERAs and to work denials and appeals
• Familiarity with CMS-1500/837P claims, ICD-10 and HCPCS codes, and timely filing limits
• Knowledge of medical terminology and refund processes
• Strong computer skills, especially Microsoft Office, plus experience with medical billing software
• Clear, professional communication with patients, carriers, and coworkers
• Detail-oriented, organized, and able to juggle priorities
• For remote work: high-speed internet and a private, HIPAA-safe workspace

Nice to have

• Ambulance or EMS billing experience
• Experience with Texas Medicaid (TMHP) and Novitas Medicare
• Certification such as CPC, CRCR, or Certified Ambulance Coder (CAC)

What we offer

• Pay of $20-23/hour, based on experience
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Life insurance, short-term disability, and critical illness coverage
• Paid training and room to grow in the EMS industry

Offers are contingent on passing a pre-employment background check and drug screening.

Emergicon is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.