Billing Associate

TMI Sports Medicine and Orthopedic Surgery, P.A.•Arlington, TX

About The Position

The Billing Specialist coordinates patient and insurance billing for a multi-specialty orthopedic group and supports patient care excellence. The role follows the revenue cycle from charge entry through insurance and patient payments, investigates and resolves claim and account issues, and works with patients, insurance carriers, coworkers, and clinical staff to support accurate billing and records.

Requirements

High school diploma or GED.
Two to three years of related experience and/or training, or an equivalent combination of education and experience.
Ability to maintain the confidentiality and security of sensitive, privileged communications and work product.
Ability to use an Electronic Health Care Record system to document patient accounts or records.
Knowledge of third-party insurance and billing practices.
Knowledge of ICD-10, CPT, and HCPCS codes and documentation guidelines.
Previous medical billing and surgery billing experience.
Working knowledge of commercial and government insurance.
Strong computer skills.
Effective communication skills.
Ability to work independently and as part of a team.
Prior customer service representative experience.
Proficiency in Microsoft Office applications, including Excel, Outlook, and PowerPoint.

Nice To Haves

Experience with billing program software, preferably Athena.
Coding or billing certification.

Responsibilities

Follow the entire revenue cycle from charge entry through insurance and patient payments.
Work electronic claims worklists to investigate claim status with insurance companies, appeal denials, resubmit claims, send medical records, and process additional information as needed.
Work with Athena to ensure claims are processed and payments are posted correctly.
Answer telephone calls and respond to inquiries from insurance carriers, patients, and coworkers.
Investigate and resolve billing discrepancies, including overpaid and underpaid accounts.
Establish payment plans to help patients manage bill payments.
Coordinate with doctors, nurses, and other health personnel to ensure medical records are complete, current, and accurate.
Use a computer to process, store, and retrieve health information.
Immediately communicate trends, discrepancies, and underpayments to the Revenue Cycle Manager.
Submit refunds for processing by the Revenue Cycle Manager.
Perform other duties as assigned.