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
(local candidates only)

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 play a key role in maximizing reimbursement for our clients by following up on outstanding medical claims, resolving denials, and ensuring timely payments from insurance carriers.

This is a high-volume, productivity-driven role where success requires strong follow-up skills, experience resolving insurance denials, attention to detail, and the ability to consistently meet established performance goals

Your primary responsibilities will include:

• Claims Follow-Up: Work outstanding claims over 60 days old, proactively following up with insurance payers to secure timely resolution and maximize collections.
• Denial Management: Research, investigate, and resolve denied or underpaid claims, identifying appropriate corrective actions and preparing appeals when necessary.
• Insurance Payer Communication: Work directly with Medicare, Medicaid, and commercial insurance carriers, including BCBS, UnitedHealthcare (UHC), Aetna, VA, Cigna, and other payers, to resolve outstanding claims and payment issues.
• Claim Status & Resolution: Utilize clearinghouse systems, payer portals, and direct communication with insurance representatives to research claim status, identify payment delays, and resolve outstanding balances.
• Corrected Claims & Appeals: Prepare and submit corrected claims, reconsiderations, and appeals while ensuring compliance with payer guidelines and timely filing requirements.
• Productivity & Performance: Consistently meet or exceed established productivity goals, quality standards, and performance expectations while maintaining accuracy in claim resolution.
• Trend Identification: Identify recurring denials, payment discrepancies, and payer-related issues, escalating trends and recommending improvements to your Team Lead or Manager.
• Patient & Payer Communication: Make and receive calls with insurance carriers and patients to resolve account balances and payment-related questions.
• Refund Processing: Review and process refunds in accordance with payer requirements and applicable state regulations.
• Compliance: Follow HIPAA regulations, applicable state and federal collection laws, and company policies.
• Demonstrate Emergicon's core values in daily interactions and responsibilities.
• Perform other job-related duties as assigned.

How you'll work

You'll begin with a 90-day, in-office onboarding and training period at our Terrell, TX location. Upon successful completion of onboarding, you may be eligible for hybrid or fully remote work based on performance and business needs.

Remote employees must reside in Texas.

You'll report to the Accounts Receivable Manager and collaborate with team members across the organization.

 Our A/R team operates in a production-based environment with established daily productivity and quality expectations. We're looking for individuals who are comfortable managing a high volume of accounts, prioritizing follow-up activities, and consistently delivering results without sacrificing accuracy.

What you'll need

• High school diploma or GED.
• 2+ years of medical billing or accounts receivable experience, with a strong emphasis on insurance claims follow-up and denial resolution.
• Demonstrated experience researching, working, and resolving denied medical claims.
• Hands-on experience working with multiple insurance payers, including Medicare, Medicaid, and commercial insurance carriers such as BCBS, UHC, Aetna, VA, and Cigna.
• Working knowledge of Medicare, Medicaid, and commercial insurance guidelines, including managed care plans and fee schedules.
• Ability to interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), identify payment discrepancies, and determine appropriate next steps.
• Experience preparing corrected claims, reconsiderations, and appeals.
• Familiarity with CMS-1500/837P claims, ICD-10 and HCPCS codes, and payer-specific timely filing requirements.
• Knowledge of medical terminology and insurance refund processes.
• Strong computer skills, including Microsoft Office, medical billing software, clearinghouses, and insurance payer portals.
• Excellent organizational skills, attention to detail, and ability to manage competing priorities.
• Professional communication skills when working with insurance representatives, patients, and internal teams.
• Ability to work effectively in a productivity-driven environment and consistently meet established productivity, accuracy, and performance expectations.
• Ability to work independently, manage assigned accounts, and take ownership of claim resolution.
• For remote work: Reliable high-speed internet and a private, HIPAA-compliant workspace.

Nice to have

• Previous ambulance or EMS billing experience.
• Experience working with Texas Medicaid (TMHP) and Novitas Medicare.
• Previous experience in a high-volume, production-based medical billing or A/R environment.
• Demonstrated success meeting or exceeding daily productivity and quality metrics.
• Certification such as CPC, CRCR, or Certified Ambulance Coder (CAC).

What makes someone successful in this role?

The ideal candidate is a proactive problem-solver who doesn't just check claim status but takes ownership of getting claims resolved.

You'll thrive in this position if you're experienced in navigating insurance payer requirements, confident handling denials and appeals, comfortable managing a high volume of accounts, and motivated by measurable results.

We're looking for someone who understands that successful A/R follow-up means moving claims toward resolution—not simply documenting another follow-up attempt.

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.