CareFlite · 1 day ago
Billing Auditor
Irving, TX, USA
Full-time
Onsite
New Grad, Entry LevelCareFlite is a nonprofit ambulance service providing medical transport. The Billing Auditor is responsible for ensuring the accuracy and compliance of patient care documentation prior to billing, supporting crews with documentation and billing inquiries, and maintaining strong relationships to promote documentation integrity.
Air TransportationEducationEmergency MedicineHealth Care
Responsibilities
Review daily ePCRs and associated documentation to ensure accuracy, completeness, compliance, and readiness for billing
Conduct pre-billing audits and return PCRs to crews for correction or clarification as necessary
Identify documentation trends affecting billing performance and communicate findings to Integrated Billing Services leadership
Review PCS forms, face sheets, signatures, mileage, and all documentation required for compliant EMS claims
Communicate daily with crew members who have pending, missing, or incomplete PCRs to ensure timely completion before the end of their shift
Assist crews with documentation or billing questions and provide clarification on payer requirements and documentation standards
Build and maintain positive relationships with crews to promote CareFlite’s mission, standards of patient advocacy, operational excellence, and documentation integrity
Participate in education initiatives, meetings, or targeted follow-ups to reinforce proper documentation practices
Provide feedback to assist in the development and refinement of documentation training materials, policies, and crew education initiatives
Obtain, scan, and attach required documents to the ePCR or billing software when not automatically linked
Support the Integrated Billing Services Manager, Billing Coordinator, and Custodian of Records with departmental needs as required
Document audit activities, findings, and communication per departmental procedures
Ensure adherence to federal, state, and organizational billing procedures, including Medicare, Medicaid, commercial payor requirements, and HIPAA
Maintain working knowledge of ambulance billing regulations, state EMS rules (including TAC 157), and internal CareFlite processes
Maintain strict confidentiality of medical and financial information in accordance with HIPAA and CareFlite policies
Communicate professionally and respectfully with internal staff, field crews, external partners, healthcare facilities, and third-party billing entities
Demonstrate regular attendance, punctuality, and the ability to perform duties independently
Attend at least 75% of quarterly staff meetings
Represent CareFlite in a courteous, professional manner with a positive customer service demeanor
Perform other duties as assigned while contributing to a respectful and collaborative work environment
Qualification
Required
Must be 18 years of age or older
High school diploma or equivalent
Prior EMS field experience (EMT or paramedic) or previous experience in ambulance pre-billing, EMS ePCR review, or emergency medical documentation auditing
Proficient in computer systems, electronic data processing, and modern office practices
Working knowledge of Medicare, Medicaid, and other public health plan billing requirements
Strong understanding of medical terminology and basic medical documentation standards
Ability to communicate clearly and professionally, both verbally and in writing
Ability to manage multiple tasks, meet deadlines, and work effectively under pressure with minimal supervision
Ability to maintain professionalism and composure when interacting with difficult, distressed, or frustrated individuals
Commitment to maintaining confidentiality and compliance with HIPAA regulations
Strong attention to detail, time-management skills, and accuracy in work product
Preferred
Experience with EMS or ambulance billing systems
Familiarity with ImageTrend, Ambulance Commander, or similar billing management/ePCR systems
Experience with third-party payors, hospitals, or claims follow-up processes
Ability to work effectively with diverse populations and across language barriers
Prior EMS, clinical, or prehospital exposure (field or administrative)
Company
CareFlite
Careflite is a medical emergency air transportation company.
Founded in 1979
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jason Schwebach
Chief Executive Officer
Dustin Kahler
Vice President / Chief Financial Officer
Company data provided by crunchbase