This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Salary: $14.76 Hourly
Location : Laredo, TX
Job Type: Full-time
Job Number: A -2
Department: Health (29/60/61/62/64/65/80)
Division: Ambulance
Opening Date: 05/28/2026
Closing Date: Continuous
Job Description
GENERAL SUMMARY
Handles new claims, posting payments and appeals of lower complexity. Provides customer service and processes medical and billing record requests.
Essential Functions/ Job Competencies/ Physical Requirements
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.
Reviews, generates, and processes emergency ambulance transport medical claims
Determines appropriate CPT and ICD 10 codes based on the medical data and narrative furnished in ePCR (electronic Patient Care Report) and if additional medical information of ePCR is needed to bill accordingly
Serve as additional support staff to manage the numerous amount of medical claims that come from EMS related services
Retrieves hospital face sheets to obtain health insurance information and reviews and researches additional health insurance portals, if necessary
Determines primary, secondary and/or tertiary insurances sequences based on insurance coverage per patient
Submits CMS1500 forms when necessary
Transmits electronic claims and reviews transmission reports for accepted and rejected claims.
Responsible for reviewing our claim batches to ensure it cleared the billing system and the clearinghouse's claim checks
Reviews medical and billing record requests in response to subpoenas, attorneys, hospitals, insurances, record retrieval companies and other companies or other organization requests
Prepare, invoice, and submit all medical and billing record and affidavit requests to respective parties
Provides customer service to patients in person and/or by telephone and is responsible for resolving reason for visit or call
Is responsible for taking payments, in person or over the phone
Reviews incoming correspondence and distributes accordingly
Assists in daily work assignments of lower complexity and any other clerical work assigned by program supervisor
Will be required to drive a City vehicle for Ciiy business use
Performs other duties as assigned
COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES
Knowledge of: Knowledge in ICD-10, CPT, and HCPCS medical coding
Knowledge in Medicare and Medicaid guidelines
Knowledge in health insurance claim submission and collections
Knowledge of HIPAA guidelines
Knowledge of complex medical office clerical and billing services and operations
Skills and Abilities Ability to solve mathematical problems pertaining to patient accounts and billing functions.
Ability to build and maintain effective working relationships with others
Ability to communicate clearly and effectively both orally and in writing
Ability to maintain good planning and organizational skills
Ability to take and follow directions from supervisor
Ability to give directions to and gain compliance from assigned staff
Ability to maintain a valid Texas Driver License and a good driving record
Ability to project a positive and professional image of the City of Laredo
Ability to effectively communicate both orally and in writing in the English language and orally in the Spanish language
Ability to comply with all City of Laredo's policies and procedures
Ability to maintain good health and physical condition sufficient to permit the full performance of the duties of this position
WORK ENVIRONMENT/CONDITIONS AND PHYSICAL DEMANDS
Physical Effort Requirements Position will have the following exposures Office or similar indoor environment, relatively free from unpleasant environmental conditions or hazards.
Exerting up to 35 pounds of force occasionally, up to 20 pounds of force frequently, and/or up to 20 pounds of force constantly having to move objects.
Work Environment Locations Position will require the employee to work in the following types of work environments
Never
Street environment (near moving traffic)
Construction site
Confined space
Vehicles
Warehouse environment
Seldom
Outdoor environment
Often
Office or similar indoor environment
Exposures Position will require the employee to be exposed to the following environmental elements
Never
Extreme cold (below 32 degrees)
Moving mechanical parts
Fumes or airborne particles
Toxic or caustic chemicals or substances
Loud noises (85+ decibels such as heavy trucks, jack hammers, construction)
Seldom
Individuals with known violent backgrounds
Extreme heat (above 100 degrees)
Communicable diseases
Sometimes
Individuals who are hostile or irate
Travel Position will require the employee to travel
Never: International travel
Seldom: Regional travel
National travel
Sometimes: Local travel
Minimum Qualifications
Required Education and Experience High School Diploma or G.E.D.
At least six (6) months of experience in medical coding, working with Medicare or Medicaid, working with insurance claims, or clerical experience in a medical office.
Proof of TB Test/Screening will be required to be presented prior to employment
Valid Licenses and Certifications
Required Licenses or Certifications Billing and Coding certification must be obtained within 12 months of employment**
**Continued employment is contingent on successfully obtaining required certification(s) and/or license(s) within the specified period of time indicated above from time of hire.
Valid Texas Drivers License. If applicant holds an out-of-state license, a State of Texas Driver License must be obtained within 6 months of employment.
As part of the minimum requirements for all positions with the City of Laredo, a thorough background check and certified school transcripts will be required from all applicants who are offered employment.
Effective February 24, 1997, all selected applicants are required to undergo a drug and alcohol test prior to employment.
Effective January 7, 2008, all persons in safety-sensitive functions/positions, as per City of Laredo Drug and Alcohol Policy definition, shall be subject to random drug and alcohol testing.
A person with a disability who needs a reasonable accommodation related to a selection process is requested to contact the Human Resources Department at , two days prior to the scheduled test or interview.
City of Laredo is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. We welcome differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, or gender identity. All applicants who share this goal are encouraged to apply. Must be able to function in a principle-based organization that has a culture built on character and core values.
The City of Laredo provides a benefit compensation package that includes the following for all Full-time regular employees: 10 days of paid vacation per year
6 1/2 days sick leave per year
Pension plan
16 paid Holidays
Paid health*
Dental plan*
Life insurance*
*30 day waiting period
For a full description of our benefits, please visit our website at: under Employee Benefits
01
Are you a current regular full-time or part-time City of Laredo employee? I am a full-time City of Laredo employee
I am a part-time City of Laredo
I am not a full-time or part-time City of Laredo employee
02
What is your highest level of education? Some High School
High School Diploma or G.E.D. recognized by the Texas Education Agency or a regional accrediting agency
30 completed college hours (credits) from an accredited college or university
60 completed college hours (credits) from an accredited college or university
Associate's Degree from an accredited college or university
Bachelor's Degree from an accredited college or university
Master's Degree from an accredited college or university
PhD from an accredited college or university
Juris Doctor from an accredited college or university
Other Post Graduate Degree from an accredited college or university
None of the above
03
Do you have at least six (6) months of experience in medical coding, working with Medicare or Medicaid, working with insurance claims, or clerical experience in a medical office? Yes
No
04
Are you aware and understand that if selected for this position, you will be required to presen proof of TB Test/Screening? Yes, I am aware and understand
No, I am not aware and do not understand. I will contact the Human Resources Department for further explanation.
05
Supplemental questions are considered part of your official application. Failure to complete all sections of your application, including the "Driver License", "Education", "Work Experience", "Certifications and Licenses" (if applicable), and "Agency-Wide Questions" will result in your application not being processed. Please complete the City's application to include all current and previous work history, relevant education, and any license(s)/certification information that may be required. A resume will not be accepted or reviewed to determine if an applicant has met the qualifications for the position. Any misrepresentation will result in your disqualification for employment consideration. I have read and understand the above information
I have read and do not understand the above information. I will contact the Human Resources Department for further explanation at .
Required Question
Worksite address
laredo, TX, 78045, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.