WHY YOU SHOULD OUTSOURCE YOUR BILLING TO AMSS, INC.
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No long-term contracts
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High-value, low fees - 7% or less
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No start-up fee
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Faster reimbursements & improved cash flow
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Certified professional coders
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Decrease your workers' compensation & payroll taxes
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Less than 10% insurance aging over 90 days
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Full-service agreement includes credentialing, at no charge
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Contact AMSS, Inc. today at (866) 403-8476 to receive your estimate.
SERVICES WE OFFER
Our medical billing service model combines standardized procedures and excellent staff training in order to deliver quality service at a competitive rate. Our "hands on" approach allows us to deliver timely and personalized service to you and your staff.
SPECIALTIES



Cardiology
Internal Medicine
Ophthalmology


OBGYN
Gastroenterology

Podiatry

Orthopedics

General Surgery



Family Practice
PT / OT / SLP
Sleep Medicine

Psychiatry

Mental Health

Otolaryngology


Vascular
Autism ABA Therapy

FROM START TO FINISH
We handle all aspects of your medical billing from A-Z including electronic claims billing, patient collections, and inquiries.
Collections services are available to clean up your old Accounts Receivable. This can be a one-time service or an ongoing practice, whatever your needs.

OUR STAFF
Our certified professional coders come from a wide variety of clinical backgrounds and are also experienced in eligibility verification, obtaining authorizations, and can assist your office with administration and workflow.
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​Our staff receives comprehensive training and continuing education to stay up-to-date on changes in the insurance industry.

ADDITIONAL SERVICES
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Seamless integration with your office using remote access
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Insurance contract negotiation and credentialing
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Assistance with clinical documentation and E&M coding
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Custom personnel forms and documents.
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Practice management consulting
TESTIMONIALS
TESTIMONIALS





ABOUT

Arliene Koch | President/COO
AMSS, Inc. was established in 2004 by Arliene Koch, President. She is a certified professional coder and has been a licensed Medicare supplement insurance sales agent for the popular insurance company Colonial Penn. She has been in the medical field for over 30 years managing several specialty clinics. She attended Davenport University where she studied human resources and accounting. She is highly invested in her staff and provides ongoing training of monthly and annual updates including safety and security measures.
Arliene Koch has started many clinics from inception by facilitating the credentialing and contracting processes. She has effectively taken numerous practices in financial distress and reversed their downward spiral creating viable medical practices with positive cash flow, all because of expert billing and coding. She also provides practice management consulting at no additional cost to her billing clients and is available for individual PMC services as well.
At AMSS, Inc., we offer a high-value, low-cost solution for practices as well as absorbing the typical employer expenses such as workers compensation, taxes, and employee benefits. Our commitment is to provide the best customer service with excellent communication and integrity; generating as much income for our clients as they are entitled to legally and by keeping the practice aging to an absolute minimum - which means less than 10% over 90 days. We believe that being an extension of the practice should always be an asset, not a liability.

Daniel Nixon | Executive Administrator
Daniel joined AMSS, Inc. as a billing specialist in September of 2013 after serving 5 years in the United States Navy. He is also graduated Magna cum laude from the University of Central Arkansas. He enjoys working to help medical and behavioral health practices hit the milestones they envisioned for themselves when they first began to practice. He is a great collaborator and problem-solver, and his contributions to AMSS, Inc. and their customers make him a valuable member of the team.
Outside of the office, Daniel enjoys working in the yard, hiking, and biking with his wife and two sons.

Rebecca Arhlich, CPC
Rebecca has been part of the AMSS, Inc. team since June 2016. She attended and graduated school for medical coding and billing in 1999. Rebecca obtained her Certified Professional Coding certificate in 2015, and now has over 20 years in medical coding and billing experience. Rebecca specializes in billing for Pediatrics, Internal Medicine, Family Practice, Podiatry and Cardiology.
During her free time, Rebecca enjoys spending time with her family, fishing, reading, and being outdoors.

Stephanie Sullivan
Stephanie began working at AMSS, Inc. in July of 2018 after obtaining her bachelor’s degree in Business Management. She is thoroughly trained in the billing and revenue cycle management process and works with her accounts to ensure proper reimbursement both from insurance and patients. She is always willing to learn new things to improve her skills and knowledge in billing and is considered an integral part of this company.
Stephanie provides excellent communication between herself, her teammates, her providers, and their patients. She is diligent to complete tasks in a timely manner which included the use of all resources available to problem-solve any claim billing issues.
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Originally, she is from Central Arkansas where she has lived most of her life. She is a loving wife and devoted mother of two, who is dedicated to caring for others. You will find that her love for helping others is unmatched. We are greatly blessed to have her!
Shannon Goodman
Since 2021, Shannon is a dedicated medical billing professional at AMSS, Inc., bringing over a decade of experience in the medical field. With a strong understanding of healthcare operations and insurance processes, she plays a vital role in ensuring accuracy, efficiency, and compliance in billing practices.
Her extensive background in the medical industry has equipped her with the skills to manage complex billing systems and provide exceptional support to both patients and providers. Shannon is known for her attention to detail, reliability, and commitment to delivering high-quality work.
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A devoted Christian, Shannon’s faith guides her both personally and professionally, influencing her work ethic, integrity, and compassion toward others. Outside of the office, she is a proud wife and mother of two beautiful daughters. She enjoys reading in her free time and values time spent with her family.

Joyce Thrash

Meet Joyce Thrash, a native of Dumas, Arkansas and a twenty-year resident of Conway, Arkansas! She joined AMSS, Inc. in March of 2022. Joyce is an alumna of the University of Central Arkansas where she received a Bachelor of Science degree in Family and Consumer Sciences. She is also an alumna of the University of Arkansas Community College at Morrilton where she received a practical nursing diploma. Joyce has an extensive background with over 17 years of experience in healthcare in the areas of general medicine, mental health, and pediatrics. Throughout her career, she has utilized the knowledge she has gained to help many individuals and families in outpatient, hospital, and school-based settings.
Joyce has a track record of problem-solving and striving for excellence while achieving many goals. She thrives as a team player and enjoys research, being a volunteer, and loves to travel. She is family-oriented being a proud mother, daughter, sister, and aunt who is well-loved by her family. She works diligently and takes pride in meeting the needs of individuals, families, and providers. Joyce is a proud member of this epic team!
Beth Clegg
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Beth is a Certified Professional Coder and member of the AAPC. She joined AMSS, Inc. in December of 2022 and has over 20 years of billing experience in family medicine, pediatrics, laboratory, and chiropractic. She is currently billing for behavioral health, sleep medicine and otolaryngology. She is efficient, highly motivated, and always has a smile on her face.
Outside of work she enjoys spending time with her husband of 42 years and her 9 grandchildren.
Shelly Kivett

Shelly came to AMSS, Inc. in 2023 as a Care Coordinator. She is a native of Indiana where she worked at Indiana University Hospital in case management until moving to Arkansas. She has over 30 years of experience in the healthcare industry and 10 years experience in the veterinarian industry. Shelly takes pride in helping individuals and animals; she finds it highly rewarding.
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Outside of work, she enjoys spending time with her husband of 38 years, children, grandchildren, three chihuahuas, and four rescue cats.
Katie Van Pelt
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Katie came to AMSS, Inc. in 2023 with over 12 years of experience in the healthcare industry. Born in Nashville, Tennessee, and raised in Central Arkansas, she has built a career grounded in precision, integrity, and dedication to detail. Throughout her career, Katie has developed a strong expertise in healthcare billing processes, insurance claims, and financial documentation. Her unwavering commitment to accuracy ensures that every billing interaction is handled efficiently and correctly—an essential quality in a field where even small errors can have a big impact.​​​
Beyond her professional accomplishments, Katie is a loving mother to two amazing children who inspire her daily to always keep improving. She has a love for reading and art, which provide creative inspiration and a personal outlet outside of work. Her deep understanding of healthcare systems and payer requirements has made her a valuable asset to the team and a trusted resource for clients.

Tina Kittredge
Tina joined AMSS, Inc. in April of 2023. She has worked in the medical field for over 20 years alongside medical professionals specializing in chiropractic and physical therapy. Her extensive professional background provides her with the ability to learn swiftly and adapt to various systems. She is knowledgeable with insurance verification, authorizations, billing medical insurance, and self-pay accounts.
Outside of the office, she enjoys spending her time hiking with her faithful companion Jagger, digging for crystals, and laying in her hammock with a good book.
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Jessica Mitchell
Jessica began working at AMSS, Inc. in May of 2023. She is the primary Credentialing Specialist and works very closely with all the different practices to ensure proper network status. She has worked in the hospital setting, scheduling radiology procedures.
She enjoys spending time with her husband of 16 years, their four children, extended family, and, of course, several 4-legged creatures. They enjoy the outdoors, camping, fishing, riding four-wheelers, and hiking.
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Natasha Foxley
Natasha joined AMSS, Inc. in 2024 as a Medical Specialist in Behavioral Health. She graduated with a BSE in Biomedical Engineering and applied her experience in rehab therapies to a career as a business analyst specializing in home services for one of the largest healthcare non-profits in the US. Natasha has over 15 years of insurance billing experience with a focus in claims auditing and compliance.
Natasha moved to Arkansas in 2019 from the Pacific Northwest and enjoys cuddling with her two cats, reading, and traveling.

Caroline Hill
Caroline joined AMSS, Inc. in October 2024 after relocating to Arkansas, bringing over 16 years of experience in the healthcare field, with a background that includes both front and back-office operations, surgery scheduling and coding, and office management.
Originally from California, she is happily married for 13 years and proud parents of two wonderful sons, along with a dog and a cat who complete their family. In her free time, she enjoys reading, gardening, and spending quality time with loved ones.

Stephanie LaMastus
Stephanie joined AMSS, Inc. in 2024 and brings 12 years of experience in the medical field, working various positions - from registration to the back-office to everything in between. She has been with her husband of 18 years and have two boys that keep them busy. In between all the football and baseball practices, she enjoys the slower side of life by spending time with family and reading and playing with various animals that she cares for.
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Angela Lea
Angela joined AMSS, Inc. in July 2024 with over 17 years of billing experience in family medicine, sports medicine, otolaryngology, sleep medicine, and behavioral health. She currently specializes in behavioral health billing, aging reports follow up, and prior authorizations.
Born and raised in South Louisiana, she enjoys time spent with family and friends, cooking, especially boiling crawfish, or just being on the water enjoying the outdoors. She also enjoys attending livestock shows, cheering her kids on as they show their home-grown boer goats.
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Casey Webb
Casey joined the AMSS, Inc. team as a Billing Specialist in December 2024. She has a bachelor’s degree in psychology and a wealth of life experience. After years of living in various states and abroad, she has come full circle and returned to her hometown. She had the privilege to be an administrator of a Montessori school for primary age children where she developed a passion for early childhood education and deepened her knowledge of behavior health as it relates to child development. She is excited to begin this new chapter of her work life and use her organizational skills as well as experience in behavioral health to provide insurance billing support for providers, so they have more time to focus on their practice. ​
​Outside of AMSS, Inc., she enjoys spending time with her two amazing teenagers. You are likely to find them on the farm, camping, enjoying musical theater, or at the bowling alley.
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Angee Williams
Angee has been with AMSS Inc. since 2024 and handles insurance verification for clinics and providers. She has worked in the industry for 8 years, formerly in the Worker’s Compensation world. She has also previously managed a large payday /check cashing company for 10 years, in addition to retail. She has always excelled at customer service in addition to being a great detective (self-trained but never official) as she grew up in law enforcement.​
When she's not in the office, she enjoys being in her yard and taking care of her plants. She loves to grow things and nurture them into something beautiful. She moved to Central Arkansas from Missouri 3 years ago, to be in the same town as her three beautiful granddaughters. They love hanging out to do their nails or they can also be found at the local fishing hole with a pole in each of their hands. (Fun Fact: She has flown through the Bermuda Triangle four times!)

Chrissy Kelly
Chrissy graduated from Central Baptist College with a Bachelor of Science in Psychology and Counseling and is currently working on her Master's degree with a long-term goal of supporting military personnel, law enforcement officers, and their families. With first-hand experience, she understands the deep need for accessible, compassionate mental health care for those who serve and protect. A lifelong resident of Greenbrier, Arkansas, she has been married for 26 years, a proud mom of 5, and a CiCi to 3 (almost 4). Family is at the heart of everything. When she's not working, she enjoys motorcycle rides with her husband, spending time outdoors, or whatever they can find to do as a family and cheering on her daughter in her theater adventures.

Ana Nixon
Originally joined the team in 2013, Ana is back at AMSS, Inc. in 2025 after a six-year gap succedding the birth of her second son. Born and raised in Manila, Philippines, she brings a unique, global perspective to the team. With deep roots in the company and a strong commitment to its mission, she combines experience with a thoughtful approach to her work.
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Outside of the office, she values slow mornings, adores tending to her flower garden, and enjoys outdoors time with her husband and two sons.