Pafford Medical Services ยท 1 day ago
No Surprises Act (NSA) Air Ambulance Billing Specialists
Hope, AR
Full-time
Onsite
New Grad, Entry LevelPafford Medical Services is seeking a No Surprises Act (NSA) Air Ambulance Billing Specialist to ensure compliance with the No Surprises Act for air ambulance services. The role involves managing billing, reimbursement, patient communications, and dispute resolution processes related to out-of-network air ambulance claims.
Hospital & Health Care
Responsibilities
Ensure compliance with the No Surprises Act and related federal and state regulations for air ambulance billing
Review air ambulance claims to identify NSA applicability and proper patient cost-sharing limitations
Prepare, submit, and track claims to commercial payers, government payers, and third-party administrators
Manage the Independent Dispute Resolution (IDR) process, including documentation, submissions, deadlines, and follow-up
Communicate with insurance carriers regarding payment determinations, negotiations, and appeals
Respond to patient inquiries regarding surprise billing protections and billing statements
Coordinate with internal teams (billing, coding, legal, compliance, and clinical operations) to resolve claim issues
Maintain accurate documentation and audit trails for compliance and reporting purposes
Monitor regulatory updates and payer policy changes affecting air ambulance reimbursement
Assist with internal audits, reporting, and compliance reviews related to NSA billing
Qualification
Required
Ensure compliance with the No Surprises Act and related federal and state regulations for air ambulance billing
Review air ambulance claims to identify NSA applicability and proper patient cost-sharing limitations
Prepare, submit, and track claims to commercial payers, government payers, and third-party administrators
Manage the Independent Dispute Resolution (IDR) process, including documentation, submissions, deadlines, and follow-up
Communicate with insurance carriers regarding payment determinations, negotiations, and appeals
Respond to patient inquiries regarding surprise billing protections and billing statements
Coordinate with internal teams (billing, coding, legal, compliance, and clinical operations) to resolve claim issues
Maintain accurate documentation and audit trails for compliance and reporting purposes
Monitor regulatory updates and payer policy changes affecting air ambulance reimbursement
Assist with internal audits, reporting, and compliance reviews related to NSA billing
Strong attention to detail and accuracy
Excellent written and verbal communication skills
Ability to interpret complex regulations and payer policies
Effective time management and deadline tracking
Professional and empathetic patient communication
Ability to work independently and collaboratively
Company
Pafford Medical Services
Pafford Medical Services, Inc.
Founded in 1967
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Clay Hobbs
Chief Operating Officer
Andrew Amante
Chief Strategy Officer
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