AR/Billing Analyst

TMI Sports Medicine and Orthopedic Surgery, P.A.; Town of Texas (WI); On-site; USD 42,000 - 54,000; Full time

Job summary

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

The role entails managing the revenue cycle from charge entry to payments and providing service excellence. The ideal candidate has a high school diploma or GED with 2–3 years of billing experience, strong computer skills, and good communication.

Qualifications

• Requires a high school diploma or GED with 2–3 years of related experience or equivalent.
• Must have strong computer skills and effective communication.
• Experience with medical billing and patient insurance is required.

Responsibilities

• Manage the revenue cycle from charge entry through insurance and patient payments.
• Follow up on claims status with insurers; appeal denials and resubmit as needed.
• Coordinate with Athena to ensure claims are processed and payments posted correctly.
• Handle inquiries from insurers, patients, and staff by phone and email.
• Investigate and resolve billing discrepancies and over/underpayments.
• Establish payment plans for patients to manage balances.
• Consult with doctors and nurses to ensure accurate medical records.
• Operate computer systems to process and retrieve health information.
• Flag trends and discrepancies to Revenue Cycle Manager immediately.
• Process refunds as directed.
• Other duties as assigned.

Skills

Strong computer skills

Effective communication

Teamwork

Independence

Education

High school diploma or GED

Tools

Athena

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