AR/Billing Analyst

TMI Sports Medicine and Orthopedic Surgery, P.A.; Texas; On-site; USD 25,000 - 39,000; Full time

Job summary

TMI Sports Medicine and Orthopedic Surgery, P.A. in Arlington, TX seeks an AR/Billing Analyst to coordinate patient and insurance billing for our multi-specialty orthopedic group.

This non-exempt, full-time role focuses on the full revenue cycle from charge entry to payments. The ideal candidate has a high school diploma (GED acceptable) with two to three years of related billing experience and strong knowledge of insurance processes.

Qualifications

• Experience in medical billing and surgery billing is required.
• Prior customer service experience preferred.
• Two to three years related experience required.
• Familiarity with Athena software is a plus.

Responsibilities

• Coordinate patient and insurance billing for the multi-specialty orthopedic group.
• Follow revenue cycle from charge entry through insurance and patient payments.
• Follow up with insurance companies, appeal denials, resubmit claims.
• Ensure claims processed correctly and payments posted.
• Respond to inquiries from insurers, patients, and staff.
• Investigate and resolve billing discrepancies.
• Establish payment plans with patients.
• Communicate trends and underpayments to the Revenue Cycle Manager.
• Submit refunds for processing.

Skills

AR Billing

Insurance knowledge

Communication skills

Teamwork independence

Education

High school diploma or GED

Tools

Athena

Job description

Job Description

Job Description

Department: Billing

Reports to: Revenue Cycle Manager

Location: Arlington, TX

Employee Type: Full-Time

FLSA Status: Non-exempt - Hourly

Summary: The AR/Billing Analyst is responsible for coordinating patient and insurance billing for our multi-specialty orthopedic group and providing patient care excellence by performing the following duties:

Essential Duties and Responsibilities include the following:

• Responsible for following entire revenue cycle from charge entry through insurance and patient payments.
• Work through an electronic claims worklist to follow up with insurance companies to investigate status of claims. Appeal denials, resubmit claims, send medical records and process any additional information as needed.
• Work in partnership with Athena to ensure claims have processed correctly and payments have been posted correctly.
• Answers telephone, and responds to inquiries from insurance carriers, patients and co-workers.
• Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
• Establishes payment plans to help patients manage payment of bills.
• Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
• Operates computer to process, store, and retrieve health information.
• Communicate any trends, discrepancies and underpayments to the Revenue Cycle Manager immediately.
• Submit refunds for processing by the Revenue Cycle Manager.
• Other duties may be assigned.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Education and/or Experience

High school diploma or general education degree (GED). Two to three years related experience and/or training; or equivalent combination of education and experience a must.

Skills and Abilities

Strong computer skills

Working knowledge of commercial and government insurance

Effective communication skills

Ability to work independently and as part of a team

Other Qualifications

Previous medical billing and surgery billing experience required

Prior customer service representative experience required

Experience with billing program software, Athena, preferred