The Coalinga Fire Department (CFD) is seeking proposals from qualified vendors to provide comprehensive ambulance billing services. The selected provider will manage all aspects of the billing and collections process for emergency medical services (EMS) provided by CFD, with the goal of maximizing revenue recovery while ensuring full compliance with all applicable regulations. A. Billing and Collections - Timely processing and submission of all EMS transport claims to Medicare, Medi-Cal, private insurance, and patients. - Management of accounts receivable, including follow-up on denials and unpaid claims. - Patient invoicing, statements, and customer service support. - Handling of refund requests and credit balance processing. - Monitoring of payer regulations and prompt implementation of updates. B. Compliance & Security - Adherence to all applicable federal, state, and local EMS billing laws and guidelines, including Medicare/Medi-Cal rules and HIPAA. - Maintenance of secure systems for the protection of patient information (PHI). - Support for audits or data reviews. C. Reporting - Monthly financial reports, including: - Gross and net revenue - Collections by payer type - Aging reports - Ad hoc reporting upon request. - Regular performance reviews with CFD.
