Ambulance Accounting Analyst

Highly complex accounting and financial analysis role supporting an ambulance billing revenue cycle within the Financial Services Division of the Safety and Emergency Services Department.

Responsibilities include:

• Reconciling daily cash receipts, lockbox activity, credit card payments, and ERA/EFT postings to bank deposits and the billing system
• Researching and resolving variances, unapplied balances, unidentified funds, and misapplied payments
• Applying claim remittances, explanations of benefits, bank statements, and invoices to patient accounts while maintaining a complete audit trail
• Processing refunds, offsets, adjustments, and write-offs in compliance with County and audit requirements
• Preparing fiscal and financial reports, including accounts receivable aging, payer-level revenue, collections, and payment trend analysis
• Auditing spreadsheets, revenue tracking reports, daily deposit reconciliations, and revenue distribution reports for management and County Finance
• Analyzing edit and exception reports to identify and resolve posting, balancing, and data anomalies
• Performing quality assurance audits of billing, payment posting, and cash-handling functions
• Supporting claim appeals, denial resolution, payment errors, and overpayment determinations
• Assisting internal and external audits with reconciliations, schedules, and supporting documentation
• Writing fiscal, billing, and cash-handling procedures aligned with Division workflows and internal controls
• Supervising, training, and providing technical support to subordinate staff, supervisors, and managers
• Assisting with billing and payment posting as needed and serving as backup for coworkers and higher-level employees