Revenue Cycle Specialist

Hornet Staffing, Inc, a GEE Group company; Houston (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

Hornet Staffing, Inc., a GEE Group company, is seeking a Revenue Recovery Specialist to support a high-volume hospital accounts receivable portfolio across government and commercial payers in Houston, TX. The role focuses on maximizing reimbursement, resolving claim barriers, and improving revenue cycle performance.

Ideal candidates have hospital AR/RCM experience, strong knowledge of Medicare/Medicaid and payer portals, and proven ability to resolve denials, underpayments, and appeals.

Qualifications

• Experience in hospital healthcare accounts receivable and revenue cycle management.
• Strong knowledge of government and commercial payer reimbursement methodologies.
• Proven ability to resolve denials, underpayments, appeals, and complex claim issues.

Responsibilities

• Manage and recover outstanding accounts receivable by investigating and resolving complex reimbursement issues across Medicare, Medicaid, and commercial payers.
• Analyze claim data, payer responses, remittance information, and contract terms to identify root causes of payment delays, denials, underpayments, and claim rejections.
• Conduct payer outreach through insurance portals, phone calls, and written escalations to secure timely claim resolution and payment recovery.
• Correct and resubmit claims, process rebills, and prepare reconsiderations and appeals in accordance with payer-specific billing guidelines and reimbursement policies.
• Monitor aging accounts and timely filing deadlines, prioritizing high-risk accounts to minimize write-offs and revenue loss.
• Accurately post insurance payments, contractual adjustments, and recoveries while maintaining the integrity of patient account records.
• Identify denial trends and recurring reimbursement issues, partnering with leadership to improve billing accuracy, reduce rework, and strengthen revenue cycle performance.
• Maintain compliance with organizational policies, payer regulations, HIPAA requirements, and audit standards.

Skills

Hospital AR

Revenue cycle

Payer follow-up

Denials resolution

Medicare/Medicaid knowledge

Job description

Revenue Recovery Specialist | Hospital Collections -Global Healthcare Organization

Onsite in Houston Texas-fulltime with Benefits

Our team is seeking an experienced Revenue Recovery Specialist to support a complex, high-volume Accounts Receivable portfolio across government and commercial insurance payers. This role plays a critical part in maximizing reimbursement, resolving claim barriers, and improving overall revenue cycle performance.

Key Responsibilities:

• Manage and recover outstanding accounts receivable by investigating and resolving complex reimbursement issues across Medicare, Medicaid, and commercial payers.
• Analyze claim data, payer responses, remittance information, and contract terms to identify root causes of payment delays, denials, underpayments, and claim rejections.
• Conduct payer outreach through insurance portals, phone calls, and written escalations to secure timely claim resolution and payment recovery.
• Correct and resubmit claims, process rebills, and prepare reconsiderations and appeals in accordance with payer-specific billing guidelines and reimbursement policies.
• Monitor aging accounts and timely filing deadlines, prioritizing high-risk accounts to minimize write-offs and revenue loss.
• Accurately post insurance payments, contractual adjustments, and recoveries while maintaining the integrity of patient account records.
• Identify denial trends and recurring reimbursement issues, partnering with leadership to improve billing accuracy, reduce rework, and strengthen revenue cycle performance.
• Maintain compliance with organizational policies, payer regulations, HIPAA requirements, and audit standards.

Ideal Background:

• Experience in Hospital healthcare accounts receivable, revenue cycle management and insurance follow-up.
• Strong knowledge of government and commercial payer reimbursement methodologies.
• Proven ability to resolve denials, underpayments, appeals, and complex claim issues.
• Familiarity with Medicare, Medicaid, managed care plans, HCPCS, CPT, ICD-10 coding concepts, and payer portals.
• Excellent analytical, problem-solving, and communication skills.

Join a leading global healthcare organization where your expertise directly impacts revenue recovery, operational excellence, and patient financial outcomes.