Billing Specialist

Job DetailsJob Location: Golder Ranch Fire District - Oro Valley, AZ 85737Position Type: Full TimeSalary Range: $18.85 - $23.09 HourlyJob Shift: DayJob Category: Finance     Billing Specialist I or II Billing Specialist I Starting Hourly Rate $18.85 Billing Specialist II Starting Hourly Rate $23.09 Title and starting rate dependent on qualifications, experience, and skill sets of selected candidates   *Plus Excellent Benefits Package*                                                                                                                               Job Title: Billing Specialist I or II Department: Finance Reports to: Billing Supervisor Status/FLSA: Full-Time/Non-Exempt Supervises: None Safety Sensitive: Yes                         QualificationsJoin our growing team and make a real impact every day at Golder Ranch Fire District!   Benefits for this position: We have an AMAZING benefits package, worth approximately 35% of your salary!    Arizona State Retirement System (ASRS) with employer matching contributions Medical, Dental, Vision, and Life Insurances Paid Time Off (PTO) accrual at 10 hours per pay period (260 hours per year), and 12 Paid Holidays annually (birthday included) District paid concierge healthcare service for you and your family Opportunity for continued education reimbursement Option to participate in additional self-funded retirement plans and a variety of supplemental insurance plans   The best benefit of all is our people! Join an amazing team of dedicated colleagues and courageous first responders who serve our community with commitment and heart. This is more than a job — it’s an opportunity to be part of a collaborative, mission-driven organization where you’ll work alongside people you genuinely enjoy while making a direct impact on public safety and community well-being.   Billing Specialist I Job Summary:  Under general supervision, the Billing Specialist I supports the ambulance revenue cycle by coordinating billing activities and ensuring accurate patient and insurance information for claim processes.  This position performs a variety of administrative and technical billing support functions. The role contributes to timely and compliant claim submission, provides internal and external customer service, and serves as primary back-up and support for the headquarters front desk. Billing Specialist I Duties/Responsibilities: Performs routine billing support activities such as processing patient care reports, generating billing forms, mailing invoices and correspondence, and handling related deposits, as assigned. Enters, reviews, and updates patient demographic, insurance, and billing information in the medical billing system to ensure accurate claim preparation and processing. Verifies insurance eligibility, active coverage, and deductible information, making corrections as needed to support compliant billing. Researches, verifies, and consolidates documentation and account data to resolve discrepancies and ensure complete and accurate billing records. Organizes work through assigned billing queues to ensure ambulance transports are prepared for billing in a timely manner. Ensures billing and system requirements are met to support clean claim submission, including both electronic and paper formats. Researches new payers, billing guidelines, and payer-specific requirements to support accurate reimbursement practices. Monitors payer trends and legislative or regulatory changes in the medical billing and healthcare insurance industries, communicating updates and recommendations to the Billing Supervisor. Provides professional internal and external customer service while responding to billing-related inquiries within established guidelines. Maintains billing records, reports, and documentation as directed by the Billing Supervisor. Billing Specialist I Required Knowledge/Skills/Abilities: General knowledge of medical insurance, billing practices, and reimbursement processes. Skill in accurately entering and processing data with strong attention to detail and a high level of organization in a deadline-driven environment. Ability to effectively communicate in English, both verbally and in writing, including the preparation of clear, organized, and grammatically correct correspondence and documentation. Ability to exercise sound judgement and work with moderate independence while consulting with the Billing Supervisor as needed. Proficiency in the use of standard office equipment, Microsoft Office applications, and the ability to learn and utilize specialized billing and department specific software systems. Ability to understand and apply District policies, procedures, and regulatory requirements related to medical billing operations. Billing Specialist I Required Education and Experience: High school diploma or GED equivalent. Must be 18 years of age or older. 1 year of full-time work experience in a biller position, or in a healthcare setting with experience processing insurance. Must have and maintain a valid Arizona driver’s license with acceptable driving record. Billing Specialist I Preferred Qualifications: Public sector work experience in the medical billing field. Working knowledge of AZ specific billing. Work experience with ambulance billing. Billing Specialist II Job Summary:  Under limited supervision, the Billing Specialist II performs full-cycle ambulance billing functions and supports revenue recovery efforts for the District and its billing clients. This position handles complex claims, resolves denials, and ensures accurate coding and reimbursement in accordance with payer and regulatory requirements. The role requires sound judgment, attention to detail, and the ability to work independently while supporting overall revenue performance. Billing Specialist II Duties/Responsibilities: Performs full-cycle ambulance billing activities, including claim preparation, coding, submission, payment posting, denial resolution, refund processing, and account reconciliation. Reviews and processes patient care reports (PCR) to ensure accounts are prepared accurately and meet clean claim standards prior to submission. Enters, reviews, and updates patient demographic, insurance, and billing information to ensure accuracy and compliance with payer requirements. Verifies insurance eligibility, active coverage, deductible information, and reimbursement requirements; corrects discrepancies to prevent claim denials. Researches, analyzes, and resolves claim denials, underpayments, and billing discrepancies; prepares and submits appeals as appropriate. Organizes and prioritizes assigned billing queues, including complex or high-dollar accounts, to support timely reimbursement. Ensures billing and system requirements are met to support compliant electronic and paper claim submission. Researches payer guidelines, fee schedules, and billing requirements to ensure accurate claim submission and reimbursement. Monitors payer trends and legislative or regulatory changes impacting ambulance reimbursement and communicates relevant updates to the Billing Supervisor. Posts electronic remittance advice (ERA/EOB), ACH/EFT transactions, paper payments, credit card transactions, deposits, and contractual adjustments within the billing system. Processes daily deposits and ensures accurate application of payments and account balances. Review and address delinquent accounts to support collection efforts and reduce aging. Assists with month-end closing procedures, reconciliation activities, and aging reports. Ensures assigned performance measures and productivity standards are met. Provides professional and knowledgeable internal and external customer service related to billing inquiries. Maintains organized billing records and reports to support financial oversight and audit requirements. Participates in internal quality reviews to ensure compliance with timely filing and billing accuracy standards. Assists with training or education related to billing processes, as assigned. Billing Specialist II Required Knowledge/Skills/Abilities: Knowledge of ambulance billing, medical insurance, and coding practices, including ICD-10, CPT, and HCPCS codes. Knowledge of Medicare, Medicaid (AHCCCS), VA, and commercial insurance reimbursement requirements. Skill in analyzing claim denials, underpayments, and billing discrepancies, including determining appropriate corrective action. Ability to accurately process, reconcile, and maintain financial and billing records with strong attention to detail in a deadline-driven environment. Ability to work with considerable independence and exercise sound judgment while consulting the Billing Supervisor as needed. Proficiency in the use of computerized billing systems, Microsoft Office applications, and standard office equipment. Ability to understand and apply District policies, procedures, and regulatory requirements related to ambulance billing operations. Ability to effectively communicate in English, both verbally and in writing, including the preparation of clear, organized, and grammatically correct correspondence and documentation. Billing Specialist II Required Education and Experience: High school diploma or GED equivalent. Must be 18 years of age or older. 3 - 5 years of progressively responsible experience in medical billing, ambulance billing, healthcare revenue cycle, or collections. Must have Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) certification. Must have and maintain a valid Arizona driver’s license with acceptable driving record. Billing Specialist II Required Licenses and Certifications: Must obtain and maintain Certified Ambulance Coder (CAC) certification within 1 year of appointment to the position, if not held at time of appointment to position. Billing Specialist II Preferred Qualifications: Associate degree in Business, Finance, Healthcare Administration, or related field from an accredited college or university recognized by the U.S. Department of Education. Experience working with ImageTrend Billing Bridge or similar ambulance billing software platforms. Public sector or fire-based EMS billing experience. Billing Specialist I & II Duties/Responsibilities: Completes required annual compliance and safety training, including HIPAA, Red Flag, OSHA, and other mandatory education. Participates in staff meetings, training opportunities, and departmental and District activities to support professional development and organizational goals. Complies with District rules, policies, procedures, and performance expectations. Performs other duties and projects as assigned. Billing Specialist I & II Required Knowledge/Skills/Abilities:: Ability to provide professional customer service and maintain effective working relationships with internal staff, outside agencies, vendors, and the public. Billing Specialist I & II Physical Requirements: Repeating motions that may include the wrists, hands and/or fingers. (i.e. grasp, handle, feel, type) Remaining in a stationary position, often standing or sitting for prolonged periods Communicating verbally and electronically with others to exchange information while completing tasks Billing Specialist I & II Scheduling Requirements: Business hours are Monday – Thursday from 7am – 5:30pm This is an in-person position     First review of applications: 03/30/2026 If enough applications are received, posting will close. All contact with applicants will be via email. No walk-in applications will be accepted. If you do not meet the minimum qualifications of this position, you will not continue in the process.   Veterans’ Preference Documentation Requirements: In accordance with A.R.S. §38-492, applicants requesting Veteran’s Preference must submit required supporting documentation at the time of application. Within the application, applicants must upload documentation verifying military service and eligibility, such as: DD Form 214 or DD Form 215 (showing discharge status and dates of service), and/or VA or DoD disability letter (if claiming preference as a disabled veteran or service-connected disability), and/or Other official documentation that confirms eligibility for Veterans’ Preference under Arizona law. The District cannot apply Veterans’ Preference if required documentation is not received with application submission.   Safety Sensitive: This job is designated by GRFD as a safety-sensitive position because it includes tasks or duties that GRFD, in good faith, believes could affect the safety or health of the employee performing the task or others (ARS 23-493). This job may require the operation of a motor vehicle, equipment, machinery, or power tools. An applicant or incumbent may be disqualified, disciplined, or terminated, if they are determined to be positive for marijuana or its metabolites, regardless of cardholder status.   Selection process may consist of: Application screening, skills assessment, credibility assessment, and interview(s). The pre-employment process for the successful candidate may include but is not limited to background checks (i.e. driving record, criminal history, etc.), physical examination, drug screen, and fingerprint checks.   Candidate Notification: All candidate notifications will be completed by email.  Please ensure you have entered your email address correctly before submitting your application. In case we need to reach you by phone, please ensure your voicemail is set up and not full.   Reasonable Accommodation Request: Applicants with disabilities requiring reasonable accommodation for this process must contact Human Resources at (520) 825-9001 option 6.    Golder Ranch Fire District is a Drug and Tobacco-Free Workplace, and an Equal Opportunity Employer