AR Revenue Cycle Collections Specialist

LifeLine Ambulance Illinois - AR Revenue Cycle Collections SpecialistLifeline Ambulance NetworkLocation: Skokie/Hybrid/RemoteDepartment: BillingReports To: Senior Director of BillingAbout Lifeline Lifeline Ambulance Network is a multi-market private ambulance provider delivering emergency and non-emergency medical transportation services. Our revenue cycle team plays a critical role in ensuring accurate reimbursement, compliance with payer regulations, and financial sustainability across EMS operations.We're seeking an AR Revenue Cycle Collections Specialist who understands the urgency, complexity, and nuance of EMS billing —someone who can own their work, push claims to resolution, and communicate effectively with payers and internal stakeholders.Position Summary The AR Revenue Cycle Collections Specialist is responsible for managing unpaid and underpaid ambulance claims, resolving denials, and ensuring timely follow-up in accordance with payer guidelines. This role requires strong analytical skills, persistence, and comfort navigating Medicare, Medicaid, and commercial payer regulations specific to EMS transport .Key Responsibilities Claims & Denials Management Resolve all assigned denial and correspondence tasks with accuracy and urgencyResearch and correct claim rejections, denials, and underpaymentsPrepare and submit corrected claims, appeals, and supporting documentationAccounts Receivable Optimization Actively work unpaid claims 60+ days from date of serviceEnsure previously worked claims are re-reviewed every 30 days or lessIdentify root causes of recurring denials and escalate trends appropriatelyAppeals & Payer Follow-Up Submit formal appeals and track outcomes through final resolutionCommunicate directly with Medicare, Medicaid, and commercial payersMaintain detailed documentation of payer interactions and appeal statusCross-Functional Communication Serve as a liaison between payers, patients, billing leadership, and operationsProvide clear updates on high-dollar or high-risk claimsSupport internal audits and compliance efforts as neededRequired Qualifications 1–2 years of revenue cycle or AR collections experience (EMS billing strongly preferred)Working knowledge of CPT, ICD-10, and HCPCS codingStrong understanding of government and commercial payer rules , especially for ambulance transportProficiency in Microsoft Excel and WordHigh school diploma or equivalent requiredCore Competencies Detail-oriented & analytical — able to spot trends and solve complex billing issuesPersistent & organized — follows claims through to resolution without dropping the ballClear communicator — professional, confident payer and internal communicationAccountable & adaptable — owns outcomes and adjusts quickly to changing prioritiesIND123