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EMS Billing Manager
 
JOB CODE:100875
 
PAY GRADE:2220
 
SALARY RANGE:$40,308 - $55,796
 
LOCATION OF WORK
Emergency Medical Services
 
GENERAL DESCRIPTION
Under the direction of the EMS Business Manager, manages and coordinates the daily activities and infrastructure of medical billing. Work involves responsibility for the application of professional accounting principles, practices, and techniques in the performance of the billing and collection of ambulance transportation charges for the Department of Emergency Medical Services. Work also involves being the principal liaison with managers and administrators of healthcare insurance carriers and with the Parish Attorney's Office for the collection of delinquent accounts. Supervision is exercised over professional accountants and clerical employees. Work is performed with relative independence of action. Performs other work as requested.
 
ESSENTIAL WORK TASKS
Serves as the EMS liaison to the Parish Attorney's Office for an enhanced collection process, involving the coordination of transferring delinquent accounts to the Parish Attorney's Office. Monitor claim requirements, submissions, and payments made by a large number of private health insurance companies to ensure that benefits are paid in accordance to patient contracts. Work with insurance company representatives to address and correct any claim issues that have caused payment delays and discrepancies. Monitor and work closely with Medicare and Medicaid to understand the regulations, reporting requirements and billing procedures so as to maximize the payment of revenue due while preventing the filing of erroneous or fraudulent claims. Ensures the activities of the billing operations staff is conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and other healthcare payer regulations. Review and interpret operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
 
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of City-Parish Ordinances and regulations relating to Ambulance Transport Fees. Knowledge of accounting principles, practices and procedures and how they may be applied to municipal accounting situations. Knowledge of rules and regulations of governmentally regulated health insurance programs (Medicare, Medicaid, Workers Compensation. etc.) Knowledge of public relations and general business practices of the medical billing industry. Skill in the operation of a calculator and other office machines. Ability to supervise the work of a moderate sized staff of professional and clerical employees. Ability to assemble, organize, and present financial, statistical and other material. Ability to establish and maintain effective working relationships with others including representatives of insurance companies. Ability to apply good work habits such as punctuality, reliability, preciseness, and dependability in order to effectively complete assigned tasks and contribute to the smooth operation of the department and division.
 
MINIMUM REQUIREMENTS
EDUCATIONAL AND EXPERIENCE
Bachelor's degree in accounting, and four years experience in progressively responsible positions involving professional accounting as related to revenue collection and/or auditing supplemented by two years of supervisory experience.
 
SUBSTITUTIONS
Any equivalent combination of education and experience.
 
CERTIFICATIONS/LICENSES
None.
 
OTHER JOB ASPECTS
None.
 
NOTE:
The work examples described in this specification are intended only as an illustration of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from job performance requirements if the work is similar, related or a logical assignment to the job.