Billing Services

The vendor is required to provide billing services to the department.
- Provide excellent customer service to the patients of county ems.
- Electronically receive all ems electronic patient care reports (EPCR) from the department’s EPCR vendor.
- Review, code, and bill each EPCR in compliance with centers for medicare and medicaid services and state department.
- Obtain and file applicable insurance from patients.
- Utilize a process to capture signatures from patients and guarantors after the patient encounter.
- Deposit funds received daily into a designated county bank account and manage county owned lockbox.
- Process patient refunds monthly.
- Provide county with necessary reports to reconcile revenue with patient level detail.
- Ability to provide with outstanding/uncashed warrant listing along with detailed information pertaining to issued refunds.
- Utilize performance metrics determined by the department, monitor trends, and provide reporting on metrics on a quarterly basis and as requested.
- Examples include, but are not limited to accounts receivable, account aging, daily deposit activity at patient level detail, denial rates, trip summaries by primary payor, etc.
- Provide forecasts of future revenues to support departmental budgeting process and ad hoc forecasting models for review by stakeholders.
- Provide customers multi-modal access to their account information, preferably on-line and via phone.
- Provide ad hoc training for county ems personnel and maintain provider-level performance metrics.
- Provide customers access to billing staff for at least 12 hours a day, seven days a week.
- Manage the county ems subscription program and provide performance metrics (e.g., subscriber data, growth forecasts, and periodic actuarial assessment).
- Provide patients with the ability to satisfy their account balance and/or subscription fees through a PCI-approved on-line payment system.
- Provide the department with data-driven, annualized revenue projections upon request.
- Submit outstanding unpaid accounts to the designated collections vendor routinely and sync collection efforts between vendor, debt setoff and vendor’s system.
- Manage communication process and submit uncollected accounts to the state debt setoff program at least quarterly.
- Properly manage special billing situations county currently has and may be involved in including but not limited to:
• On-duty public safety transport
• County subscription program
• Physician services billing
• Ad-hoc billing
- Utilize any third-party data systems as selected by the county.
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: March 27, 2025