Ambulance Billing Specialist

Introduction

The successful candidate for the Ambulance Transportation Billing Specialist role will bring a strong foundation in medical billing—specifically ambulance billing—combined with a working knowledge of healthcare compliance, regulatory protocols, and electronic medical records. They will demonstrate proficiency in interpreting patient care reports, ensuring compliance with Centers for Medicare/Medicaid Services (CMS) standards, and submitting accurate documentation for billing and reimbursement. An ideal candidate will also be detail-oriented, capable of analyzing complex data sets to support performance improvement and revenue optimization, and comfortable working within platforms like ImageTrend and Microsoft Office. They will possess the interpersonal and communication skills necessary to train new employees, coordinate with stakeholders, and work effectively across departments. Certification in medical billing and ambulance compliance (or willingness to obtain within designated timeframes) is essential. Candidates must show an ability to work independently while maintaining high accuracy and confidentiality, prioritize tasks efficiently, and contribute to the operational integrity and financial health of the ambulance transportation division.

Anticipated starting salary for this position may be up to mid-point depending on candidate’s experience and internal equity. The full salary range is listed above and mid-point for this position is $32.28 hourly / $67,100.80 annually.

Minimum Qualifications

Education and Experience:

• Associates Degree in Business, Finance or related field from an accredited educational institution.
• Two years of current ambulance/medical billing experience, OR one year of current ambulance/medical billing experience and NAAC certified as an Ambulance Coder.
• Any equivalent combination of education and/or job-related experience that meets the minimum qualifications may be substituted.

Licensing, Certifications and Other Requirements:

• National Academy of Ambulance Compliance (NAAC) as a Certified Ambulance Coder (CAC) within 6 months of hire.
• Certified Medical Billing Specialist (ICD-10 and HCPC Codes) at time of hire.
• Every person employed by the City of Scottsdale shall reside in the State of Arizona during his or her active employment by the City, regardless of whether the employee is approved to remote work.

Other pertinent licenses and/or certifications may be required of some positions depending on division/department/service assignment.

Essential Functions

• • Submit accurate and complete patient care reports to the billing company for processing
  • Develop and deliver training to new employees within the ambulance transportation division.
  • Analyze data trends related to ambulance transportation to identify performance gaps or reporting needs.
  • Assist with quality assurance by reviewing reports for adherence to protocols and billing standards.
  • Ensure patient confidentiality by handling all patient-related and billing information with discretion and in compliance with HIPAA.
  • Interpret and apply billing codes, policies, and regulations, including ICD-10 and HCPCS coding.
  • Collaborate with external facilities to gather necessary patient information for accurate billing.

Work Environment/Physical Demands

• Travel to/from meetings and to various locations.
• Operate a variety of standard office equipment including a computer, telephone, calculator, copy, requiring continuous and repetitive arm, hand, and eye movement.

Benefits Highlights:
The City of Scottsdale offers a comprehensive benefits package including:

• 12 Paid Holidays, which includes 1 Floating Holiday
• Vacation Accrual; starts at 10.3 hours/month
• Sick Leave Accrual; 8 hours/month
• Medical (which includes behavioral health coverage), Dental and Vision Benefits
• City Paid Basic Life Insurance (equal to one times employee annual salary); option of Supplemental Life Insurance
• Tuition Reimbursement; $2,500/year
• Participation in the Arizona State Retirement System (ASRS) Defined benefit plan with mandatory employer and employee contributions currently at 12.27% which includes a Long-Term Disability benefit
• Supplemental Retirement Plans through Nationwide; 457
• Pet Insurance
• Bilingual pay compensation

Please visit the Human Resources and Benefits Information page for more information.

Selection Process:
The application and supplemental questions are an integral part of the selection process and must be completed in full in order for you to be considered as a candidate. Please complete each section and answer all questions as thoroughly as possible. DO NOT state “See Resume” in lieu of answering. Unanswered questions, incomplete responses, omissions, or partial information may result in disqualification from the selection process.

Applicants whose education, training and experience most closely meet the needs of the position may be invited to participate in a selection process that may include a panel interview. Successful candidates will receive a post-offer, pre-employment background screening that may include:

• Fingerprinting search of the national FBI Database
• Criminal Background screening

The City of Scottsdale reserves the right to change this process at any time, potentially without advance notice.

PLEASE NOTE: Years of experience are based on a work schedule of 2,080 hours per year for full-time positions and 1,040 hours per year for part-time positions, and while work experience may substitute for education on a year-for-year basis, depending upon the job classification, education may not be substituted for work experience.

EQUAL EMPLOYMENT OPPORTUNITY: It is the policy of the city to provide employment opportunities to all persons based solely on ability, regardless of race, color, religion, sex, national origin, age, sexual orientation, gender identity, or disability.

When advised, reasonable accommodations will be made in order for an “otherwise qualified applicant" with a disability to participate in any phase of the recruitment process. Please contact Human Resources to request an accommodation. Persons with a disability may request a reasonable accommodation by contacting HR Receptionist at (480) 312-2491. Requests should be made 24 hours in advance or as early as possible to allow time to arrange the accommodation. For TTY users, the Arizona Relay Service (1-800-367-8939) may contact HR Receptionist at (480) 312-2491.

This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the position change.

Full-Time Positions:
The City of Scottsdale offers a comprehensive benefit package including vacation, holiday and medical leave as well as insurance for medical, dental, vision, life, short and long term disability insurance. For a more detailed overview of the employee benefits, click here .

Part-Time Positions:
The City of Scottsdale offers paid medical leave for part-time staff.

Commute Solutions Program
City of Scottsdale provides free Valley Metro Platinum passes to employees for the bus and light rail systems when commuting; a vanpool subsidy is also available. Employees can decrease stress, decrease wear & tear on their vehicle, and help the environment all at the same time.

Public Service Loan Forgiveness Program (PSLF).
The City of Scottsdale is considered a qualified employer for the Public Service Loan Forgiveness Program (PSLF). You may find more information about the PSFL program by going to the Federal Student Aid website by clicking here .

Closing Date/Time: 8/10/2025 11:59 PM Arizona

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• City of Scottsdale

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