EMS Billing Manager

City of Tacoma, WA
August 31, 2023
Tacoma, WA
Job Type


Position Description
Tacoma Fire Department's Finance Division is looking for a skilled, enthusiastic, and self-motivated Emergency Medical Services (EMS) Billing Manager (Business Services Analyst, Principal) to join our team. This position will be classified as a Principal Business Services Analyst - with a working title of EMS Billing Manager - and will lead the EMS Billing & Customer Service group and is responsible for accurate collection and reporting of over $30 million a year.

Successful candidates will have a demonstrable record of establishing good rapport with personnel, providing positive reinforcement to ensure they are encouraged to give their best performance, and provide exceptional customer service to the community we serve. This position also involves handling elevated customer inquiries or complaints with professionalism and compassion, interpreting and communicating complex billing & insurance regulations and policies, and analyzing rates and financial statements to monitor & report on the fiscal health of the EMS Fund to management.


  • Supervise and develop a dynamic group of Customer Service Representatives.
  • Communicate effectively with patients, hospital and insurance representatives, internal finance staff, auditors, and the executive management of the department.
  • Adjust and organize daily workload and assigned projects for the success of the team.
  • Establish and update procedures for the critical tasks of the billing cycle.
  • Manage all aspects of the accounts receivable related to EMS billing (claims, payments, adjustments, refunds, write-offs, collections, etc.).
  • Accurately translate postings from the billing system into the City's financial statements including reporting on trends, variances, and key performance indicators.
  • Prepare annual, biennial, and ad-hoc updates to billing rates.

Working conditions primarily in an indoor, office environment at Tacoma Fire Department's Headquarters Building. This position may participate in ride-alongs with Tacoma Fire first responders so must have manual dexterity, balance, eyesight, and hearing. Schedule requires the ability to work normal office hours (Monday - Friday, 8:00 a.m. - 5:00 p.m.). This position will have an option to telework for a portion of the week so must have a functional space in their home for computer equipment and ability to protect patient information in their remote environment.

The City of Tacoma offers a generous program of employee benefits:

  • Outstanding working conditions and an exceptional quality-of-life environment.
  • Medical coverage for eligible employees, spouses and dependents, including children up to age 26.
  • Vision care with VSP for employees and eligible dependents enrolled in the Regence PPO medical plan with vision benefits.
  • Dental coverage for eligible employees and their elected dependents, including dependent children up to the age of 26.
  • Deferred compensation allowing tax-deferred savings as authorized under Section 457 of the IRS Code.
  • Personal time off.
  • Paid holidays.
  • A great pension plan.

For information on the City of Tacoma's benefit package feel free to explore City of Tacoma Benefits.

City of Tacoma Commitment to Diversity and Inclusion
Tacoma's diversity is its greatest asset. Tacoma embraces its multi-cultural and multi-ethnic character. Communities of color and immigrant communities are fundamental to Tacoma's entrepreneurial spirit, workforce, and long-term success. In Tacoma, equity and empowerment are top priorities, meaning that all Tacoma residents must have equitable opportunities to reach their full potential and share in the benefits of community progress. One of our goals is for the City of Tacoma workforce to reflect the community it serves. We actively work to eliminate racial and other disparities and welcome candidates with diverse backgrounds and/or multicultural skill sets and experiences. Our goal is for Tacoma to be an inclusive and equitable place to live, work, and play.
Minimum Education*
Bachelor's degree public or business administration or directly related field

Minimum Experience*
5 years of progressively responsible analytical and/or program coordination/management work in area related to assignment including 1 year prior at senior, lead and/or supervisory level


  • Previous experience working in a similar capacity in a fire or public safety agency
  • Previous experience with EMS or medical billing
  • Active Certified Public Accountant or Certified Public Finance Officer


  • WA driver's license required, as travel between department locations may be required.
  • Individuals must pass a background check.

*Equivalency: 1 year of experience = 1 year of education
Knowledge & Skills
This position requires a high degree of communication skills, organizational skills, ability to analyze and prioritize workloads, ability to interpret and consolidate vague information from multiple sources, use of discretion, and sound decision-making. This position requires an individual who can work autonomously and in a team setting. In addition, applicant ideally will possess the following skills and knowledge:

  • Establish and maintain cooperative and effective working relationships with others.
  • Train, supervise, and evaluate personnel.
  • Work independently with little direction.
  • Understand current patient privacy and medical records laws.
  • Read, interpret, apply, and explain codes, rules, regulations, policies and procedures.
  • Develop technical procedures for complex accounting systems and processes.
  • Review and evaluate complex financial information and make appropriate recommendations.
  • Communicate effectively both orally and in writing.
  • Understand techniques, methods, and terminology used in budget analysis and financial reporting.

Selection Process & Supplemental Information
To be considered for this rewarding career opportunity:
Interested individuals should apply online and attach a detailed resume and cover letter describing their experience as it relates to the duties of this position, including what makes them an ideal candidate. NOTE: Applications received without the required resume and cover letter will not progress in the selection process.

In order for your application materials to be considered, all information must be submitted by the closing date and time listed on this job announcement.

First review of applications will begin on Friday, September 8, 2023, and candidates whose applications are received by this date will have first consideration.

Candidates whose backgrounds most closely reflect the current needs of the department will be referred to the hiring manager for review and hiring consideration. Candidates that are moving forward in the selection process may be invited to participate in a preliminary online interview as part of the hiring process. Appointment is subject to passing a background check.

The online application system may require you to enter a substantial amount of information. Be prepared to spend a minimum of one hour entering the required information.

The Principles that Guide Us:
Tacoma, the City of Destiny , has a workforce of dedicated, talented employees with unique skills and perspectives. We embrace innovation and strive for excellence and community engagement. The Principles that Guide Us speak to the values that we embody as City of Tacoma employees and represent the core of our work in public service.

  • Integrity: We conduct our personal, work group, and organizational actions in an ethical and honest manner, and we serve as responsible stewards of the public resources entrusted to us.
  • Service: We treat everyone with courtesy and empathy. We provide customer-focused municipal services that produce high value and results.
  • Excellence: We achieve the highest performance possible. We use collaborative and inclusive approaches to organizational and community issues. We are accountable for individually and collectively meeting high standards.
  • Equity: We understand and reflect the community we serve. We ensure every community member has services and opportunities that will enable people to satisfy their essential needs and advance their wellbeing.

The Community
Tacoma is a mid-sized urban port city that sits along the Puget Sound with a population of over 210,000. The third largest city in the state of Washington, it is a diverse, progressive, international gateway to the Pacific Rim.

Propelled by significant development such as the University of Washington Tacoma, the Tacoma Link light rail system, the restored urban waterfront of the Thea Foss Waterway, the expansions of both the MultiCare and Franciscan health systems, and a significant influx of foreign direct investment in its downtown core, Tacoma has evolved considerably since the 1990s.

Tacoma boasts the state's highest density of art and history museums and is home to a flourishing creative community of writers, artists, musicians, photographers, filmmakers, chefs, entrepreneurs, and small business owners who each add their unique flair to the city's vibrant commercial landscape. The iconic Tacoma Dome has endured as a high-demand venue for some of the largest names in the entertainment industry.

Tacoma's natural beauty and proximity to the Puget Sound and Mount Rainier draws hikers, runners, bicyclists, and maritime enthusiasts to the area. Its lively social scene is infused with energy by thousands of students attending the University of Washington Tacoma, the University of Puget Sound, the Evergreen State College Tacoma campus, and Tacoma Community College, as well as a number of local trade and technical colleges. Its prime location - just 20 minutes south of the Seattle-Tacoma International Airport, 30 miles north of the state capital in Olympia, and within 10 miles of the U.S. Department of Defense's premier military installation on the West Coast - only adds to Tacoma's desirability. To see a few of the great things Tacoma has to offer, view this YouTube Video! When you work for the City of Tacoma, you'll have the opportunity to enjoy a healthy work/life balance, the potential for flexible work schedules (with some job classifications), continuing education programs, leadership pathways, wellness incentives and a total rewards benefits program. We welcome you to take a look at our website and discover how the City of Tacoma can make your next career move part of our combined destiny

The City of Tacoma believes that each employee makes a significant contribution to our success. This job description is designed to outline primary duties, qualifications and job scope. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

Communication from the City of Tacoma:
We primarily communicate via email during the application process. Emails from cityoftacoma.org and/or governmentjobs.com must be placed on your safe domain list to ensure that you receive notifications in a timely manner. As a precaution, you may also want to check your junk email folders.

For assistance with the NEOGOV application process, questions regarding this job announcement, or if you are experiencing complications while applying, please contact the Human Resources office at 253-591-5400 by 4:00 pm of the closing date of the job announcement. This will allow time to assist you before the job announcement closes. ( For technical difficulties using the NeoGov system , call the applicant support line at 1-855-524-5627 between 6:00 AM and 5:00 PM Pacific Time.)

The City of Tacoma provides excellent medical, dental and vision plans for the whole family; paid holidays and paid leave; participation in the Tacoma Public Employees' Retirement System (alternate plan for Police/Fire); continuing education and advancement opportunities and a growing variety of City-sponsored health and wellness opportunities and incentives.

Medical Coverage: For eligible employees and their families, including domestic partners and dependent children age 26 or younger.

Dental Coverage: For eligible employees and their families, including domestic partners and dependent children age 26 or younger.

Vision Coverage: For eligible employees and their eligible dependents.

Paid Leave: City employees are entitled to received paid holidays, sick/vacation leave or personal time off (PTO), depending upon union affiliation and appointment type.

Insurance Plans: Employees are covered by a long-term disability plan. Short-term and expanded long-term disability insurance plans are also available to employees. The State Industrial Insurance Act also covers employees.

Deferred Compensation: Income can be set aside on a pretax basis and invested for supplementation of normal retirement income.

Retirement: All employees of the City, except members of the Police and Fire services, Tacoma Rail and certain project employees, are included in the Tacoma Employees' Retirement System. Information on the Tacoma Employees' Retirement System can be found at www.cityoftacoma.org or by calling (253) 502-8200.

Other Employment Information

Direct Deposit: Employees are paid on a bi-weekly schedule by direct deposit.

Salary Increases: Based on satisfactory job performance, the City provides for a regular progression of salary increases for most classifications according to the salary schedule.

Union Affiliation: Many job classifications are covered by union security provisions which require union membership, dues, or payment of equivalent service fees.

Note: The provisions of this job announcement do not constitute an expressed or implied contract. Any provision contained herein may be modified and/or revoked without notice.

Closing Date/Time: 9/15/2023 5:00 PM Pacific

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