Billing Auditor

At Falck US, RCM Billing isn’t just numbers – it’s how we help people after some of the most stressful moments in their lives. When we bill correctly and clearly, we make it easier for patients, payors and our colleagues in Operations, Insurance Relations and Patient Experience to do the right thing.

**Application Deadline May 19, 2026 @ 11:59 pm**

We are building a clear Billing growth journey :

• Billing Specialist I – Learn (Verification / Coding / Processing)
• Billing Specialist II – Perform (One Biller)
• Billing Specialist III – Advanced One Biller
• Billing Auditor – Improve & Educate (and still help in production)

We are looking for people who want to grow through this ladder , not stay in the first role forever.

Click on the below link for a short video about what it means to join Falck!

Position Summary:

As a Billing Auditor , you focus on improving and educating – but you also still spend a portion of your time in production work to stay close to reality.

You review Billing work to ensure compliance, accuracy and completeness, identify patterns and help turn them into better standards, training and processes. You work closely with Billing Managers, the Billing Leads (especially Training & Quality and Process Excellence), the Support & Transformation analysts and the compliance resources to protect revenue, reduce risk and build skills.

What We Offer:

· Full-Time Benefits (Medical, Dental, Vision, Life)

·401(k) with company match

· Training and Career Development

· Generous Paid Time-Off

Essential Functions:

In this role you will:

• Perform structured audits of Billing work (documentation, coding choices, modifiers, payer rules, holds and releases) using agreed samples and criteria.
• Identify trends and recurring issues and share them with Billing Managers, Billing Leads and analysts.
• Work with the Billing Lead – Training & Quality and academy resources to turn audit findings into training content, coaching topics and simple checklists.
• Provide clear, constructive feedback to individual billers and help them understand and correct mistakes.
• Spend a portion of your time in normal production work (as a senior one biller) to maintain practical skills and stay connected to daily realities.
• Support special reviews (e.g. new payors, new processes, focused compliance checks) and help prepare for external audits where needed.

Qualifications:

• Typically have 5+ years of Ambulance Billing/RCM experience, including solid end‑to‑end one‑biller work.
• Have strong knowledge of compliance and payer rules (e.g. CMS/Medicare/Medicaid, No Surprises Act, coding/modifier logic for 911/IFT).
• Are detail‑oriented and fair – you can apply standards consistently and separate facts from opinions.
• Communicate clearly and respectfully – you can give honest feedback in a way that helps people improve.
• Enjoy both hands‑on production and stepping back to see patterns and contribute to better training and processes.

Working Conditions:

The working conditions described below are representative of those a team member encounters while performing the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities of this job.

· Small to medium office or shared work space

· Work varied shifts to include days, nights, weekends and holidays

Physical Requirements:

The physical demands described below are representative of those that must be met by a team member to successfully perform the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

· Ability to sit for long periods of time

· Ability to use a computer for long periods of time

· Ability to use hands to handle, control, or feel objects, tools, or controls.

· Ability to repeat the same movements for long periods of time

· Ability to push and lift to 25 lbs.

This job description is a summary of duties, it is by no means an all-inclusive list but is merely a broad guide of expected duties.

Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law.