Account Technician - EMS Billing

Job Title

This highly responsible position performs a variety of technical accounting functions and duties related to the EMS Billing, accounting for receivables, working with the third-party billing company and patients on collection of payments, and reconciliation of deposits. Knowledge of EMS laws and regulations is highly recommended. This position may help educate field personnel on HIPAA updates. Other duties pertaining to validation and audit of records will also be a portion of the job.

Hiring hourly range: $21.66 - $28.36. Open until filled; application review begins immediately.

Duties and Responsibilities

Duties include: detailed auditing and research of medical accounts; prepares daily and monthly reports as necessary to track and monitor the account balances through the billing company's electronic system; receives checks by mail for bills; may receive cash from patients at office; may post payments on computer, and prepares cash and check receipt forms; interacts with the third party billing company on a regular basis, and processes requests in a timely manner and with follow up to resolution; may interact with patients about billing and insurance problems; coordinates debt-set off collections. Provides a comprehensive tracking of budget to actual for revenues by categories of funding including Medicare, Medicaid, private insurance, and other major payers. This position assists with cost reporting by the Center for Medicare/Medicaid Services and participates in production of documentation as needed for other parties, following HIPAA and legal guidelines.

Minimum Qualifications

Position requires a high school diploma (or GED), supplemented with two (2) or more years of experience in EMS billing or medical billing; or any equivalent combination of experience and training which provides the knowledge, skills, and abilities necessary to perform the work. Associate degree preferred.

Knowledge, Skills and Abilities

Knowledge of accounting principles as related to accounts receivable in specific and overall general ledger knowledge. Comprehensive knowledge of EMS ALS/BLS functions in order to provide improvements and billing practices, processes, and collections preferred. Ability to read and understand medical terminology, medical claims procedures, and payer regulations required. Analytic capabilities and account balancing skills to include overseeing reconciliation of batch postings, deposits, aging accounts required. Knowledge of EMS a plus. Preferred certified ambulance coder certification and certified compliance officer, both which must be obtained within the first year of hire if not already possessing a similar certification.

Benefits

Charleston County offers competitive pay and a comprehensive benefits package to its employees, including but not limited to: health, dental, vision, and life insurance; optional life and disability insurance; optional medical and dependent care spending accounts; annual and sick leave; fourteen (14) recognized holidays; South Carolina retirement system (SCRS) state retirement plan; police officers retirement system (PORS - as applicable); optional deferred compensation program; longevity and merit pay increases; leadership, professional, and skill development training; employee assistance program; employee well-being program.

For more information, visit our benefits page.

Employer: Charleston County Government

Location: SC 29405, SC

Job Type: Full-Time

Job Number: EM210667

Department: EMS

Opening Date: 11/26/2025

Address: 4045 Bridge View Dr Charleston, South Carolina, 29405

Phone: 843-958-4700