About auxis
auxis is a u.s.-founded consulting and business outsourcing firm (est. 1997) that helps organizations optimize and transform their operations. We specialize in areas such as technology, finance, human resources, automation, and digital transformation.
our nearshore delivery model, with service centers in costa rica and colombia, allows us to work closely with u.s.-based clients in terms of language, culture, and time zone alignment.
we support a wide range of organizations—from mid-market companies to large enterprises—by combining strategic consulting, technology implementation, and ongoing operational support.
at auxis, we focus on delivering practical, results-driven solutions that create real business impact.
position summary
we are looking for an experienced ambulance billing representative to join the transcare ems division of the crisis center of tampa bay. This role is responsible for managing end-to-end ems transport billing processes, including claims preparation, payment posting, accounts receivable follow-up, and communication with insurance providers and patients.
the ideal candidate will bring strong medical billing knowledge, attention to detail, and the ability to work in a fast-paced, high-touch environment with continuous communication.
key responsibilities
* prepare and submit accurate ambulance transport claims to medicare, medicaid, commercial insurance carriers, and self-pay patients
* review epcr documentation to ensure medical necessity and billing accuracy
* post insurance and patient payments and reconcile billing records
* perform accounts receivable follow-up to resolve unpaid claims and denials
* communicate with insurance companies, clearinghouses, and patients regarding billing inquiries
* maintain accurate billing files, documentation, and reports
* review accounts for refunds, adjustments, and collection referrals
* ensure compliance with cms ambulance fee schedules and payer guidelines
* maintain strict confidentiality in accordance with hipaa requirements
* collaborate with internal teams (ems operations, documentation, revenue cycle) to resolve billing issues
* support audits, special projects, and provide backup to other billing team members
requirements
* high school diploma or ged required
* minimum of 2+ years of relevant medical billing experience (non-entry level)
* solid understanding of medical billing processes, including:
* claims submission
* denial management and payer follow-up
* coding familiarity (icd-10 preferred)
* knowledge of medicare, medicaid, and commercial insurance processes (preferred)
* familiarity with ambulance billing and cms fee schedules (a plus)
* strong english communication skills (written and spoken)
* comfortable making calls to u.s. hospitals, facilities, and insurance companies
* ability to work u.s. Eastern time hours
* comfortable working in a structured, high-touch, and supervised environment
* proficiency with microsoft office and billing systems
* typing speed of at least 45 wpm
nice to have
* prior experience in ambulance billing
* certified ambulance coder (cac) certification (or willingness to obtain — support provided)
tools & systems
* billing software platforms
* electronic clearinghouse systems
* microsoft office suite
* standard office equipment
100% remote opportunity – work from anywhere in latam!