Come work in a fast-paced high-energy office. Pinellas County Ambulance Billing is one of the largest ambulance providers in the country and is the exclusive ambulance provider for Pinellas County.  Our vision is to be nationally recognized as the industry leader in ambulance billing. 

This position is within the Program Services section of the Financial Services Division, which is part of Pinellas County’s Safety and Emergency Services Department. Performs complex technical and financial work specializing in the compliance, oversight, analysis, and processing of functions associated with an ambulance billing revenue cycle. Competences and functions include: Execution of the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from public and private insurance companies, including The Center for Medicare and Medicaid Services (CMS); Coordination with the County Attorney’s Office in ensuring the collection of funds owed and resolution of estates, probates, auto, claims etc.; In-depth knowledge and independent application of State and Federal regulations governing healthcare: Knowledge of  standard medical terms; A high degree of independent judgment in applying concepts such as medical necessity; Applied knowledge of billing nuances related to private and public insurance carriers,  hospitals,  hospices, Veterans Administration, and skilled nursing facilities; Account analysis to determine the appropriate next steps in the disposal of accounts; Interpretation application of complex regulations and Department procedural billing policies; This is the journey level in the class series. Positions may provide direction and instruction to lower-level medical billing staff and may act as a group lead for one or more support staff. The position reports to a supervisor or manager. This position differs from the Medical Billing Specialist 1, in it requires a higher level of independent judgment and decision- making. The nature of assignments are at the higher end of the complexity scale.

This Medical Billing Specialist 2 Ambulance Billing Technician position is located at:  12490 Ulmerton Road., Largo, FL  33774. Work Schedule:  Monday – Friday; 9:00 a.m. – 5:00 p.m. (Onsite only; no remote work).

All positions working in the Safety & Emergency Services Department are subject to:

• A fingerprint- based criminal history records check to achieve a Federal and State clearance.

What Would You Do?

• Research, verify, update, and assures the accuracy of information in the medical billing system.
• Research and resolve claim errors, e.g., verify failures, claim rejects, etc.
• Electronic claims submission, 835 file retrieval, naming, and filing through Waystar, EOB/ERA manual retrieval through payer portals.
• Submission and reconciliation of claims sent to the Collection Agency to include Collections reports.
• Review routine Quality Assurance reports related to collections and special projects to resolve issues with claims identified. 
• Conversion of incoming mailbag, USPS, faxes, emails to PDF files following documented scanning procedures.
• Coordinate and mailing of paper claims and supporting documentation as applicable.
• Return Mail – Adhering to the guidelines and processing appropriately.
• Incoming Mail – Sorting accurately and dispersing to the appropriate parties.
• Additional Information Correspondence folder – Submitting the additional information requested from the insurance.
• Additional Information Workflows – Reviewing each of the workflows to determine the appropriate action.
• All Incoming Correspondence (except Medicare appeals & Jail denials) – documenting accounts and processing what is received.
• Support Document Management activities such as sorting and archiving.
• Resolve assigned tickets through the Ticketing System adhering to the service level agreement.
• Add payers and correct payer information.
• Apply medical billing knowledge for insurance verification procedures.
• Audit and review of accounts to validate the appropriate past actions and to determine next steps.
• Handle resolution of EOB issues with insurance carriers.
• Perform a variety of tasks related to an automated office environment.
• Prepare status reports and performs special projects as required.
• Perform other related job duties as assigned.

What Do You Need? 

Experience:  Medical billing, claim analysis, denial review, or secondary billing workflow functions

• 5+ years of experience as described above.
• Associate’s degree and 3+ years’ experience as described above.
• Bachelor’s degree and 1+ years’ experience as described above.
• Master’s or higher-level degree and some experience as described above.
• An equivalent combination of education, training, and/or experience.
• Proficiency with Microsoft Windows, Word, Excel, Outlook, and Adobe Acrobat.
• Proficiency with working with various automated software applications.
• Assignment to work a variety of customer service and administrative tasks including compulsory work periods in special, emergency, and/or disaster situations.

Why Choose Pinellas County?

When you join Pinellas County, you’re not just taking on a job—you’re investing in your future. We believe in supporting our employees with exceptional benefits that help you thrive both professionally and personally. Here's why our benefits stand out as some of the best in the area:

• Comprehensive Benefits Package: Enjoy affordable medical, dental, vision, life insurance, flexible spending accounts, and more that meet the needs of you and your family.
• Florida Retirement System (FRS): Secure your financial future with a robust retirement plan that gives you peace of mind as you plan for tomorrow.
• Generous leave time: Take advantage of time off to recharge and enjoy life outside of work.
• Wellness Program: Access to county gyms 24/7 and wellness programs as part of our commitment to employee wellness.
• Deferred compensation: Build your savings and plan for the future with flexible deferred compensation options tailored to your financial goals.
• To learn more, see What We Offer

Want to Learn More?

Please review the full classification description with the Physical/Mental Demands, Working Conditions, and Knowledge, Skills, and Abilities at the below link.

Medical Billing Specialist 2