Billing Associate

ADP, Inc.; Arlington (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

The billing specialist is responsible for coordinating patient and insurance billing for our multi-specialty orthopedic group and providing patient care excellence by performing the following duties: coordinating the full revenue cycle from charges to payment, and communicating with insurers and patients to resolve issues.

Responsibilities include handling claims follow-up, appeals, posting payments, establishing payment plans, and collaborating with clinicians to ensure accurate medical records.

Qualifications

• High school diploma or GED required.
• 2–3 years related experience and/or training; or equivalent combination.
• Experience with customer service preferred.
• Proficiency in Microsoft Office applications.

Responsibilities

• Oversee revenue cycle from charge entry to payments.
• Follow up on insurance claims and appeal denials as needed.
• Work with Athena to ensure correct processing and postings.
• Answer inquiries from insurers, patients and staff.
• Investigate and resolve billing discrepancies for over/underpayments.
• Establish payment plans for patients.

Skills

Teamwork

Customer service

MS Office

Education

High school diploma or GED

2–3 years related experience

Tools

Athena

EHR system

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

General Information

Reports to:Revenue Cycle Manager/Revenue Cycle Team Lead

Location:Arlington, TX

Employee Type:Full-Time

FLSA Status:Non-exempt - Hourly

Job Summary

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

Principal Duties and Responsibilities

• 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 as assigned.

Job Qualifications

Education

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.

Specific Job Experience

• Ability to maintain the confidentiality and security of sensitive, privileged communications and work product.
• Ability to utilize Electronic Heath Care Record system for documentation to patients’ account/record.
• Knowledge of third-party insurance and billing practices
• Knowledge of ICD-10, CPT, HCPCS codes and documentation guidelines required.
• Previous medical billing and surgery billing experience required.
• Experience with billing program software, Athena, preferred.
• Working knowledge of commercial and government insurance

Knowledge, Skills and Abilities

• Ability to work independently and as part of a team.
• Prior customer service representative experience required.
• Proficiency in Microsoft Office Applications. (Excel, Outlook, PowerPoint)