Empress Emergency Medical Services · 11 hours ago
Sr Medicare Biller
Yonkers, NY
Full-time
Onsite
Mid, Senior Level
$64K/yr - $64K/yr
3+ years expEmpress Emergency Medical Services is seeking a Senior Medicare Biller responsible for overseeing and managing Medicare billing processes for ambulance transports. This role requires advanced knowledge of Medicare billing and compliance with regulatory standards to ensure timely and accurate reimbursement.
Health CareMedical
Responsibilities
Process, review, and submit Medicare claims for emergency and non-emergency ambulance services in accordance with CMS and New York State regulations
Ensure accurate coding, modifiers, mileage, and level-of-service billing (BLS, ALS1, ALS2, SCT)
Review documentation for medical necessity, physician certification statements (PCS), trip reports, and supporting records
Identify, research, and resolve Medicare denials, underpayments, and rejections
Prepare and submit redetermination, reconsiderations, and higher-level appeals as needed
Coordinate Medicare crossover claims to New York State Medicaid and other secondary insurers
Maintain compliance with CMS guidelines, OIG standards, HIPAA, and company policies
Monitor aging reports, follow up on unpaid or delayed claims, and ensure timely resolution
Act as a resource and mentor to billing staff, providing training and guidance on Medicare-related issues
Assist with audits, compliance reviews, and internal quality assurance initiatives
Communicate effectively with Medicare Administrative Contractors (MACs), Medicaid, and internal departments
Stay current on Medicare policy updates, fee schedule changes, and regulatory requirements
Qualification
Required
Minimum of 3–5 years of Medicare ambulance billing experience required
In-depth knowledge of CMS ambulance billing regulations and New York State billing practices
Strong understanding of medical necessity requirements and documentation standards
Experience with Medicare appeals and denial resolution
Proficiency with ambulance billing software and electronic claim submission systems
High attention to detail and strong analytical skills
Ability to prioritize workload and meet deadlines in a fast-paced environment
Excellent written and verbal communication skills
Ability to maintain confidentiality and compliance with HIPAA regulations
Preferred
Experience with New York State Medicaid, No-Fault, and Workers' Compensation coordination
Prior supervisory or lead billing experience
Familiarity with compliance audits and payer reviews
CAC, CPC, CPB, or other relevant billing/coding certification
Company
Empress Emergency Medical Services
Since its inception in 1985, Empress has made a firm commitment to the development of Emergency Medical Services and quality after-care transportation in New York City, The Bronx, Westchester County, the Hudson Valley and Connecticut.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase