Direct Billing Jobs in Texas (NOW HIRING)

SUMMARY:

This position is responsible for leading and planning ground ambulance billing operations in a fully remote work environment, including designing, implementing, and enforcing policies and procedures, and streamlining billing processes across multiple markets. This position requires the ability to prioritize, plan, and direct the department while managing a distributed team through virtual collaboration tools, maintaining the same level of oversight, accountability, and HIPAA-compliant data security expected in an on-site setting.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(Responsibilities include, but not limited to)

• Leads and supports the billing team remotely by recruiting, onboarding, training, scheduling, coaching, and evaluating employees; setting clear expectations; and providing ongoing feedback and performance management through virtual communication tools.
• Meets billing operational standards by contributing billing information to strategic plans and reviews, implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements.
• Manages adherence to HIPAA and other governmental regulations, including maintaining a secure remote work environment (encrypted connections, VPN access, multi-factor authentication, and private workspaces free from unauthorized access to PHI).
• Leads in understanding medical terminology and searching provider documentation (Patient Care Reports/PCRs, run sheets, and Physician Certification Statements) to identify diagnoses, conditions, and services rendered, and to assign the appropriate ground ambulance billing codes and modifiers to each claim.
• Maintains accountability to management regarding call volumes, contract volumes, and daily runs held (medics, PCS), tracked through remote-access reporting dashboards.
• Plans and implements quality assurance for all processes, including remote audit procedures to verify accuracy of claim coding, level-of-service determinations, mileage, and medical necessity documentation.
• Leads special program/billing planning and implementation, and performs strategic planning and priority setting for the department.
• Drives process efficiency improvements, including optimizing remote workflows and reducing claim turnaround time.
• Motivates and engages direct reports in a remote or hybrid setting, fostering accountability and team cohesion without in-person oversight.
• Stays current with Medicare/Medicaid guidelines and payer-specific requirements for ground ambulance billing, including medical necessity, origin/destination rules, and the Ambulance Fee Schedule.
• Manages cross-departmental communication using virtual meeting platforms, messaging, and collaborative project management tools, and ensures reliable availability during established remote working hours.
• Adheres to company policies and procedures, including remote work, data security, and equipment use policies. Other duties as assigned.

KNOWLEDGE AND SKILLS:

• Excellent analytical, problem-solving, and both written and verbal communication skills, with strong interpersonal skills suited to leading a team remotely.
• Ability to manage multiple projects concurrently and code data to produce and submit claims to Medicare, Medicaid, and commercial payers specific to ground ambulance transport.
• Knowledge of CPT, ICD-10, and HCPCS coding, medical terminology, and ground ambulance-specific billing requirements (levels of service, mileage, origin/destination, and medical necessity documentation).
• Knowledge of HIPAA and other governmental regulations, with particular attention to maintaining PHI security in a remote work environment.
• Proficient in Microsoft Office Suite, data entry, and remote billing/EHR platforms, as well as remote collaboration tools (video conferencing, VPN, messaging, cloud-based document sharing).
• Demonstrated ability to work independently and manage time effectively in a remote setting, with strong self-direction and accountability.

REMOTE WORK REQUIREMENTS:

• Must maintain a dedicated, private, HIPAA-compliant home workspace free from unauthorized access to protected health information (PHI), with reliable high-speed internet meeting minimum company-specified bandwidth.
• Must use company-approved equipment and security measures (VPN, multi-factor authentication, encrypted storage/transmission of billing data), and maintain a suitable ergonomic home office setup.
• Must be available and responsive during designated core business hours and attend scheduled virtual meetings; may be required to travel periodically to company offices or market locations for training, meetings, or on-site audits.

PHYSICAL REQUIREMENTS:

• Works around standard home-office conditions, with repetitive keyboard use at a workstation for extended periods, manual dexterity, and the ability to sit for extended periods while communicating via phone and video conferencing.

MINIMUM QUALIFICATIONS:

• Associate's Degree preferred, or equivalent and appropriate work experience.
• Five years of Medical Billing Experience, with ground ambulance/EMS billing experience strongly preferred.
• Supervisory experience, including experience managing or supervising remote or distributed teams, preferred.
• CAC (Certified Ambulance Coder) preferred. Certification by the National Academy of Ambulance Coding (NAAC) (in-process acceptable, or must complete within one year of hire after successful completion of the probationary period).
• Demonstrated prior success working in a remote or telecommute position preferred.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Allegiance is an EEO employer as defined by the EEOC.