Medical AR Recovery Specialist

United Against Human Trafficking; Houston (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Cenikor is seeking a Medical AR Recovery Specialist in Houston to manage patient accounts, review coding, and resolve balances with payors and patients. The role emphasizes accuracy, timely communications, and adherence to Cenikor's core principles.

You will work with insurance staff and supervisors to improve payment outcomes, maintain documentation, and ensure customer-focused service in a fast-paced environment.

Qualifications

• Knowledge of medical billing, coding and collections.
• Skilled in customer service.
• Excellent listening and phone skills.
• Fast problem solver and able to multi-task.
• Possess excellent organization skills and high attention to detail.
• Ability to work in a team environment.
• Knowledge of Microsoft Office software including MS Outlook calendar.

Responsibilities

• Conduct general financial management of patient accounts.
• Review coding information for procedures and diagnosis on charge, comparing to payor rules.
• Research, analyze and resolve outstanding balances to ensure claims payment.
• Coordinate with supervisors and insurance staff on billing changes or trends.
• Appeal and resolve denials; escalate as needed.
• Post insurance and patient payments accurately and assist in disputes.
• Handle patient account inquiries and resolve issues with managers.
• Work with patients to resolve past due balances and meet deadlines.
• Conduct follow-up calls to collect payments and notify payers.
• Review AR Aging Report and document actions taken.

Skills

Medical billing

Coding knowledge

Collections

Customer service

Phone skills

Multi-tasking

Organization

MS Office

Teamwork

Core principles

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Cenikor's Value Proposition - What's In It for You?

• PURPOSE in your work - service to others, giving back to your community, helping to save lives, being fulfilled at work.
• COMPETITIVE PAY, BENEFITS, PAID TIME OFF, $2k - $4k TUITION REIMBURSEMENT, up to 10% 401K and BONUSES - we hire and reward high performers.
• Benefits for full-time team members include Medical, Dental, Vision, Basic Life & AD&D, LTD, STD, Accident, Critical Illness, HRA/FSA
• STABILITY and GROWTH - more than 55 years in business - our strong financial processes support our drive to serve more people and ensure stability for our team members.
• CONTINUOUS LEARNING and PROFESSIONAL DEVELOPMENT - we are committed to developing our leaders in their desired career path and promoting from within. We have Cenikor Career Pathways Program that you can join after 90 days of employment. We also have an annual leadership development program with assigned mentors to help you achieve your professional goals. More than 25% of our total employees have been promoted the last 4 years.
• STUDENT LOAN FORGIVENESS - The Public Service Loan Forgiveness (PSLF) forgives your qualified student loans if working for a non-profit for a specific period of time. Find out more here.
• The work we do isn't easy. If you like purposeful hard work, serving others and having FUN with your team while achieving goals, Cenikor will be the right place for you!

The Medical AR Recovery Specialist is responsible for communication with carriers, payors, clients, facilities and management at all levels to get maximum payment on accounts.

Schedule:

8am-5pm

ESSENTIAL FUNCTIONS:

1. Conduct general financial management of patient accounts.
2. Review coding information for procedures performed and diagnosis on charge, comparing to payor specific coding rules.
3. Research, analyze and resolve outstanding customer/insurance balances to ensure claims payment.
4. Work and communicate with supervisor, managers and all insurance staff in regards to claims billing changes or trends.
5. Appeal and resolve outstanding claims resulting from denials, wrong insurance, etc.; Escalate appeals to all available insurance companies.
6. A/R collection efforts, file proof of claims and handle legal/ TDI correspondence.
7. Post insurance & patient payments accurately and assist supervisor/manager in resolving disputes.
8. Handle patient account inquires by researching, resolving or referring to the manager.
9. Work directly with patients to resolve past due self-pay balances, and meet deadlines and goals on a consistent basis.
10. Conduct follow up calls to maintain patient balances and/ or payment arrangements; locate and notify insurance patients and other payers' accounts by mail, telephone, email, and any other means necessary to solicit payment.
11. Review and document work performed/action taken on AR Aging Report amounts on the over/under payment report; contact payer or patient as appropriate.
12. Maintain fax logs, phone logs for insurance reference.
13. Audit contractual adjustments and ensure that the approval process for adjustments is followed.
14. Prepare, review and send patient statements.
15. Uphold the core principles of Cenikor's culture and create a positive working environment for all team members. Be able to effectively communicate the core principles of Cenikor's culture to candidates during interview process.
16. Perform additional duties as assigned and consistent with the non-exempt functions as defined in this job description.

QUALIFICATIONS FOR THE POSITION:

Skills, Knowledge and Abilities:

• Knowledge of medical billing, coding and collections.
• Skilled in customer service
• Excellent listening and phone skills
• Fast problem solver and able to multi-task
• Possess excellent organization skills and high attention to detail
• Ability to work in a team environment
• Knowledge of Microsoft Office software required, including specific MS Outlook calendar experience.
• Ability to consistently uphold the Core Principles of Cenikor's Culture:
• Demonstrate mission of service to our clients
• Positive, respectful communication with both staff and clients
• Demonstrate self-motivation and perseverance to achieve goals
• Role model appropriate, professional behaviors including appropriate client boundaries
• Work effectively as part of a team, helping to set up others for success

Education:

• High School Diploma or GED required

IMPORTANT NOTES:

Drug Free Workplace

Equal Opportunity Employer