EMS Revenue Cycle Director

Position Summary

The Revenue Cycle Director is responsible for overseeing all aspects of the ambulance billing revenue cycle, from patient intake and charge capture through final payment resolution. This role ensures accurate billing, maximizes reimbursement, maintains compliance with federal and state regulations, and leads performance improvement initiatives within EMS billing operations.

• Oversee end-to-end ambulance billing operations including charge entry, coding, claims submission, payment posting, and collections
• Monitor key performance indicators (KPIs) such as days in A/R, collection rates, denial rates, and cash flow
• Identify and implement strategies to improve reimbursement and reduce revenue leakage

• Ensure proper use of EMS billing codes, including HCPCS and modifiers specific to ground and air ambulance services
• Maintain compliance with Centers for Medicare & Medicaid Services (CMS), Medicare, Medicaid, and commercial payer guidelines
• Stay current on ambulance fee schedules, local coverage determinations (LCDs), and documentation requirements

• Oversee denial management processes, including root cause analysis and appeals
• Reduce aged receivables and improve collection turnaround time
• Work closely with billing staff to resolve complex claims and payer issues

• Supervise billing, coding, and A/R staff (internal or outsourced vendors)
• Provide training on ambulance billing regulations, documentation standards, and system workflows
• Establish productivity benchmarks and conduct performance evaluations

• Partner with EMS leadership, fire departments, and third‑party billing vendors in person and virtually
• Provide regular reporting and insights on revenue performance
• Support contract negotiations with payers and billing partners

• Optimize billing software and electronic patient care reporting (ePCR) integrations
• Lead automation and workflow improvements to increase efficiency
• Ensure data integrity across systems

• Bachelor’s degree in healthcare administration, business, finance, or related field (or equivalent experience)
• Minimum 5 years of experience managing a revenue cycle team, preferably in EMS or ambulance billing
• Strong knowledge of Medicare/Medicaid ambulance billing rules and payer requirements
• Experience managing A/R, denials, and collections

• Experience with ambulance billing platforms (e.g., ESO, Image Trend, Zoll)
• Familiarity with NEMSIS data standards
• Certification such as CPC (Certified Professional Coder) or CPB (Certified Professional Biller)

• Analytical mindset with strong attention to detail
• Leadership and team development skills
• Process improvement and problem‑solving ability
• Strong communication skills with both clinical and financial stakeholders

$100,000 - $120,000 a year