Ambulance Billing Technician

Salary : $62,576.80 - $79,865.97 Annually Location : Fire Administration - 1212 SW Simpson Ave b, Bend, OR Job Type: Full Time Job Number: 20260057 Department: Finance Division: 0F34 Opening Date: 04/21/2026 Closing Date: ContinuousAbout the RoleThe City of Bend is accepting applications for one (1) regular, full-time Ambulance Billing Technician in the Ambulance Billing Division of the Finance Department. This is an hourly, non-exempt (overtime eligible) position represented by the City of Bend Employee Association (COBEA). The City may use this job posting to create an eligibility list for future hiring purposes. Please review the entire job posting, including the application requirements at the end. The Ambulance Billing Technician plays a vital behind-the-scenes role in supporting emergency medical services for the City of Bend. This position helps ensure ambulance services are billed accurately and in compliance with state and federal regulations, supporting the Fire Department's ability to continue providing critical care to the community. In this role, the person would be part of a small, collaborative, and supportive team where communication and teamwork are valued. The day-to-day work includes reviewing ambulance documentation, submitting insurance and Medicare claims, following up on payments, and providing helpful, respectful customer service to patients and insurance providers. This role works closely with Fire Department staff and teammates to resolve questions, improve processes, and ensure a positive experience for those navigating ambulance billing, all while contributing to essential City services. Classification Framework: Ambulance Billing TechnicianWhat You'll DoThe following duties are a sample of major duties performed in this role and not intended to be an exhaustive list. Reviews ambulance call documentation to make sure services are billed correctly. Submits ambulance claims to insurance companies, Medicare, and other payers. Follows up on unpaid or denied claims and works to resolve issues. Answers billing questions from patients, families, and insurance providers with professionalism and empathy. Assists patients with understanding their bills and navigating the appeals process when needed. Enters and maintains accurate billing records in billing system. Monitors deadlines and compliance requirements to ensure claims are filed properly. Works closely with Fire Department staff to clarify documentation and improve billing processes. Ideal CandidateWe are looking for someone who: Produces precise, consistent work and understands that accuracy is critical to compliance, billing outcomes, and public trust; Contributes positively to a small team environment and works toward shared goals; Is reliable, accountable, and committed to following through with tasks from start to finish; Communicates effectively with coworkers, fire department staff, patients, and insurance providers; and Manages time and workload effectively while providing professional, respectful support to patients and external partners. The ideal candidate brings strong administrative or clerical experience along with a high level of attention to detail, accuracy, and work ethic. Team-minded and collaborative, yet comfortable working independently and managing their time effectively. Clear communication skills and a customer service mindset are important, as is confidence using computer systems. Prior experience with insurance or medical billing is a plus but not required; we can train the technical aspects of the job and certification can be obtained after hire. What matters most is reliability, precision, and being a great fit for a small, supportive team. Candidates who meet the listed minimum qualifications, including an equivalent combination of education and experience will be considered for an interview. Please ensure your application includes information about your education, relevant paid and unpaid work experience, and applicable licenses and certifications. Avoid referencing your resume in the job duties section of the application. Minimum QualificationsEducation: Associate's degree in accounting, business, or related field; AND Experience: At least 2 years of ambulance billing or similar experience, with at least one of those years being in a municipal government setting; OR An equivalent combination of education and experience sufficient to successfully perform the essential duties of the job. Required Licenses & CertificationsCurrent and valid Driver's license per City policies outlined in the Employee Handbook. Must possess and maintain a current, active NAAC (National Academy of Ambulance Coding) certificate within six months of hire. Desired (but not required) AttributesPrior experience in regulated administrative work, such as healthcare, government, finance, or insurance, where accuracy and compliance were critical. Previous work involving insurance companies, claims processing, billing, or payment follow-up (medical or non-medical). Experience working in a small team environment, where collaboration and independent workload management were both expected. What to Know Before ApplyingApplication Deadline: Applications received by Tuesday, May 5, 2026, at 12:00 PM (noon) Pacific Time will be included in an initial review and consideration for interview; however, the position will remain open until filled. Application Requirements: To be considered for an interview, applicants must complete an online application including the following attachments (failure to include required attachments may result in disqualification): Cover Letter Resume Veterans' Preference: Applicants seeking Veterans' Preference as a qualified veteran or disabled veteran must attach appropriate documentation to their application. For more information click here. Equity Statement: The City of Bend remains committed to building a workforce that advances diversity and inclusion within our community and all we do. We recognize that not everyone starts from the same place, and that gender, race, ability, sexual orientation, and other identities face different barriers. We welcome applicants from all backgrounds and are dedicated to creating an inclusive, safe, and respectful workplace where employees can thrive without these barriers. A more extended version of the City of Bend's Organizational Equity Statement is available upon request. Benefits: The City of Bend offers an excellent competitive benefits package for Employees and Dependents for health and dental coverage, retirement benefits, and a robust paid leave program. Details are available on the benefits tab of the job posting. Starting Compensation: Starting compensation is determined based on a pay equity analysis considering the candidate's education, applicable work experience, and internal equity. Please include all relevant information on your application. Diversity & Equal Opportunity Employer StatementThe City of Bend is committed to fostering, cultivating and preserving a culture of diversity and inclusion. At the City of Bend, we don't just accept differences; we value them. We are proud to be an Equal Opportunity Employer and support the Americans with Disabilities Amendments Act (ADAAA) and the Oregon Equal Pay Act. Employee Benefit OverviewAugust 1, 2025 - July 31, 2026Regular Full Time Benefits:Coverage is effective on the first day of the month, coinciding with or following date of hire. (If the first day of work is on the first calendar day of the month, coverage is effective that day.) High Deductible Health Plan (HDHP)Medical, Vision and Prescription CoverageUnderwritten by PacificSource Health Plans Full-time employees currently pay 10% of the total monthly premium. Benefit-eligible part-time employee premiums are pro-rated according to their regularly-scheduled hours, either at 50% (employees working 20-29 hours per week) or 75% (employees working 30-39 hours per week) of the full monthly premium. Employee monthly premiumEmployeeEmployee & DependentsFull-time Employees$71.48$178.70Part-time 1 Employees (30-39 hours per week)$178.72$446.77Part-time 2 Employees (20-29 hours per week)$357.43$893.54 Health Reimbursement Account (HRA)Third Party Administrator -- PacificSource Administrators (PSA) This is an employer-funded account designed to reimburse employees for IRS-qualified medical expenses. Reimbursements are tax-free, and any unused HRA Comp-A fund amounts at the end of the plan year are transferred to the employee's VEBA account following first full year of employment (see below for VEBA account information). Coinsurance (Med-G) funding remaining at plan year end is forfeited and does not roll to the VEBA. Employee monthly premium portion:EmployeeEmployee & DependentsFull-time EmployeesHRA (Comp - A) Coinsurance (Med - G)$2,000 $1,250$4,000 $1,250Part-time 1 Employees (30-39 hours per week)HRA (Comp - A) Coinsurance (Med - G)$1,500 $937.50$3,000 $1,335.75Part-time 2 Employees (20-29 hours per week)HRA (Comp - A) Coinsurance (Med - G)$1,000 $625$2,000 $890.50 Employees also have the option to self-fund a Flexible Spending Account (FSA) for unreimbursed medical expenses to offset potential out-of-pocket liability under the medical/dental plans and potentially shelter their HRA Comp-A account to allow for larger rollover to their VEBA account at plan year end. First Stop Health - Telemedicine: The City of Bend provides First Stop Health (FSH) telemedicine benefits for FREE to all medical-enrolled employees and up to seven (7) of their immediate family members. Dental PlanUnderwritten by MODA $2,000 calendar year benefit maximum per covered individual includes $1,000 one-time orthodontia benefit. Full-time employees currently pay 10% of the total composite monthly premium. Part-time benefit-eligible employee premiums are pro-rated according to their regularly scheduled work hours (50% for employees working 20-29 hours per week; 75% for those working 30-39 hours per week). Employee composite monthly premium:Employee with/without DependentsFull-time Employees$15.40 Part-time 1 Employees (30-39 hours per week)$38.53 Part-time 2 Employees (20-29 hours per week)$77.05 VEBA PlanAdministered by HRA VEBA Individual employee account that receives tax-free rollover amounts from the City-funded HRA Comp-A account remaining at the end of each plan year. The account belongs to the employee and may be invested in mutual funds similar to deferred compensation. The account can grow, tax free, and be used for future medical expenses and can be used either while still employed or after separation/retirement. Flexible Spending Plan (FSA)Administered by PacificSource Administrators (PSA) Participation in the City of Bend's Flexible Spending Plan is voluntary and allows employees to pay for IRS-approved health care-related expenses and dependent care through pre-tax payroll deduction. Life, Personal Accident (AD&D) & Long-Term Disability PlansUnderwritten by New York Life Group Basic Term Life InsuranceBenefit-eligible employees working at least 20 hours per week are eligible for a coverage amount of one times the employees annual salary, to a maximum benefit of $150,000, with a minimum benefit of $50,000. Coverage includes person accident coverage for loss of life and/or limb, per scheduled benefit package amounts. Group Long-term Disability Insurance:Benefit-eligible employees working at least 20 hours per week are eligible for a a benefit of up to 66.67% of employee's covered earnings to a maximum of $9,000 per month. Voluntary Life and AD&DActive, full time employees of the City of Bend regularly working a minimum of 20 hours per week are eligible for additional voluntary coverage for the employee, spouse/domestic partner and dependent children. Public Employees Retirement System (PERS)The City of Bend participates in the PERS Retirement System. Employees become PERS members after working six full calendar months in a qualifying position requiring at least 600 hours worked per 12-month period. Contributions on the employee's behalf begin following completion of the six-month waiting period. The City makes "employer" contribution based on the employee's Tier I, II or OPSRP member status. The City also makes the "employee" member contribution of 6% of salary. For complete PERS program details, visit the website Employee Assistance ProgramUnderwritten by Canopy This City-provided, confidential service helps employees privately solve problems that may interfere with work, family and life in general. Services are free to employees, their dependents and household members. The City of Bend also offers the following voluntary benefit programs which are elective and funded through payroll deduction: AFLAC Supplemental Insurance (various plans are offered) MASA ground and air ambulance membership 457(b) Deferred Compensation Plans sponsored by Nationwide Retirement Solutions & Mission Square Retirement Temporary Medical Only Benefit's:Coverage is effective on the first day of the month, coinciding with or following date of hire. (If the first day of work is on the first calendar day of the month, coverage is effective that day.) High Deductible Health Plan (HDHP)Medical, Vision, Prescription coverageUnderwritten by PacificSource Health Plans Full-time, temporary employee(s) currently pay 10% of the total employee(s) monthly premium. Full-time, temporary employees are eligible for employee-only medical coverage. However, there is family coverage available should the employee choose to enroll and assume financial responsibility for the difference of premium. Employee composite monthly premium:EmployeeEmployee & DependentsFull-time Employees$71.48$1,143.69Deductible$2,000$4,000 Flexible Spending Plan (FSA)Administered by PacificSource Administrators (PSA) Participation in the City of Bend's Flexible Spending Plan is voluntary and allows employees to pay for IRS-approved health care-related expenses and dependent care through pre-tax payroll deduction. Public Employees Retirement System (PERS)The City of Bend participates in the PERS Retirement System. Employees become PERS members after working six full calendar months in a qualifying position requiring at least 600 hours worked per 12-month period. Contributions on the employee's behalf begin following completion of the six-month waiting period. The City makes "employer" contribution based on the employee's Tier I, II or OPSRP member status. The City also makes the "employee" member contribution of 6% of salary. For complete PERS program details, visit the website http://www.oregon.gov/pers Employee Assistance ProgramUnderwritten by Canopy This City-provided, confidential service helps employees privately solve problems that may interfere with work, family and life in general. Services are free to employees, their dependents and household members. The City of Bend also offers the following voluntary benefit programs which are elective and funded through payroll deduction: MASA ground and air ambulance membership 457 Deferred Compensation Plans sponsored by Nationwide Retirement Solutions and Mission Square Retirement If you have Federal student loan debt, (private student loans not included), or are considering going back to school, you may benefit from the Student Loan Forgiveness Program. If you make 120 qualifying payments on your Federal student loan while working full-time for a qualifying employer, your Federal student loan debt may be forgiven. Always check the loan servicer and type of loan you have to ensure you qualify.