Aged Insurance Recovery Analyst

Accounts Recovery Specialist

Revenue Cycle Management is looking for a full-time 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 closure
• Review and analyze EOBs, denials, underpayments, and account discrepancies to determine root cause and required next steps
• Perform all necessary resolution actions, including claim corrections, resubmissions, appeals, and reconsiderations, ensuring accounts are actively moved toward resolution
• Conduct ongoing follow-up with insurance carriers, patients, and providers to obtain information, resolve issues, and drive accounts to closure without reliance on downstream handoffs
• Ensure accurate and timely updates to account status, documentation, payments, and adjustments within the billing/collection system
• Interpret 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 requirements
• Monitor assigned work queues and prioritize accounts to meet or exceed productivity and quality expectations
• Identify recurring denial or reimbursement trends and escalate insights to management for process improvement
• Utilize 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 resolution
• Solid understanding of insurance billing, claims processing, denials, and reimbursement workflows
• Ability to independently analyze account issues, determine root cause, and execute appropriate resolution steps
• Proficient in interpreting EOBs, payer responses, and account adjustments
• Knowledge of payer types including commercial, government, and Workers Compensation plans
• Familiarity 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 efficiently
• Effective communication skills with ability to interact professionally with patients, providers, and insurance carriers
• Strong organizational and prioritization skills with the ability to work independently with minimal supervision
• Working 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 GED
• Two (2) years of experience in medical accounts receivable, billing, or revenue cycle operations in specialty, surgical, or multi-provider practice environments.

BENEFITS:

• 3 Medical Plans
• 2 Dental Plans
• 2 Vision Plans
• Employee Assistant Program
• Short- and Long-Term Disability Insurance
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays

Premier 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.

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment with Premier Medical Resources is contingent on the successful completion of a pre-employment drug screen and background check.