EMS Billing Service

The agency is seeking a vendor to provide timely and accurate billing and accounts receivable management services for emergency medical treatment and transport services. This initiative aims to solve the challenge of managing complex medical claims by utilizing information from agency EMS rescue and other reliable sources. The selected provider will handle billing operations, follow up on rejected, denied, and inactive claims, and ensure accurate coding of medical claims. The scope of work covers financial management, collections, and customer service. The provider must maintain appropriate accounting procedures for reconciling deposits, receivables, billing activity, patient accounts, adjustments, and refunds. Additionally, the provider must establish a toll-free telephone number for patient inquiries, assign a designated liaison for patient and payor concerns, and prepare additional third-party claims or payment arrangements. The project also requires hospital, insurance, and credentialing support, which includes establishing arrangements with hospitals to obtain and verify patient demographics and assisting the agency with insurer provider enrollment forms. The agency requires real-time, read-only electronic access to vendor billing records and patient account information, alongside comprehensive reports for monitoring and auditing. The provider must also explore options to bill, collect, or subcontract billing services for Fire/Rescue-related responses upon request. Only onshore organizations based in the United States are eligible to bid on this opportunity. The performance of all contracted work will take place offsite. The agency has not disclosed a specific budget and is currently looking for proposals to determine the cost of these services. Key dates and specific evaluation criteria are not detailed in the initial solicitation.