Accounts Recovery Specialist (Clinic)

Revenue Cycle Management is looking for an Accounts Recovery Specialist to join our team! Hybrid opportunity after 90 day in-person training (2 days from home, 3 days in office)SUMMARY: The Accounts Recovery Specialist is responsible for the end-to-end management and resolution of Accounts Receivable (A/R) for assigned medical accounts. This role maintains full ownership of accounts throughout the revenue cycle, including analysis, correction, follow-up, and final resolution. This position is expected to resolve accounts without reliance on downstream handoffs. The role ensures timely and accurate recovery of revenue while maintaining compliance with all regulatory and organizational standards.ESSENTIAL FUNCTIONS:Independently manage assigned Accounts Receivable (A/R) accounts through the full lifecycle, maintaining complete ownership from initial review through final resolution and closureReview and analyze EOBs, denials, underpayments, and account discrepancies to determine root cause and required next stepsPerform all necessary resolution actions, including claim corrections, resubmissions, appeals, and reconsiderations, ensuring accounts are actively moved toward resolutionConduct ongoing follow-up with insurance carriers, patients, and providers to obtain information, resolve issues, and drive accounts to closure without reliance on downstream handoffsEnsure accurate and timely updates to account status, documentation, payments, and adjustments within the billing/collection systemInterpret payer responses and apply appropriate resolution strategies based on findings (e.g., correction, appeal, patient billing, or adjustment)Maintain compliance with all applicable federal, state, payer, and organizational guidelines, including HIPAA requirementsMonitor assigned work queues and prioritize accounts to meet or exceed productivity and quality expectationsIdentify recurring denial or reimbursement trends and escalate insights to management for process improvementUtilize payer portals and billing systems (e.g., Availity and other platforms) to complete required account resolution activities KNOWLEDGE, SKILLS, AND ABILITIES:Strong knowledge of healthcare revenue cycle processes with emphasis on end-to-end A/R management and account resolutionSolid understanding of insurance billing, claims processing, denials, and reimbursement workflowsAbility to independently analyze account issues, determine root cause, and execute appropriate resolution stepsProficient in interpreting EOBs, payer responses, and account adjustmentsKnowledge of payer types including commercial, government, and Workers' Compensation plansFamiliarity with medical billing systems (e.g., ECW, Athena, NextGen, or similar) and payer portals (e.g., Availity)Strong attention to detail with the ability to manage high-volume work queues accurately and efficientlyEffective communication skills with ability to interact professionally with patients, providers, and insurance carriersStrong organizational and prioritization skills with the ability to work independently with minimal supervisionWorking knowledge of medical terminology and basic understanding of ICD-10/CPT concepts as they relate to billing resolution EDUCATION AND EXPERIENCE:High School Diploma or GEDTwo (2) years of experience in medical accounts receivable, billing, or revenue cycle operations in specialty, surgical, or multi-provider practice environments. BENEFITS:3 Medical Plans2 Dental Plans2 Vision PlansEmployee Assistant ProgramShort- and Long-Term Disability InsuranceAccidental Death & Dismemberment Plan401(k) with a 2-year vestingPTO + HolidaysPlease visit our website for more information:www.pmr-healthcare.comPremier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.