We are looking for a detail-oriented Collections Specialist to join our team in Houston, Texas. In this long-term contract position, you will play a key role in managing past-due accounts, ensuring timely payments, and maintaining strong relationships with clients. This opportunity is ideal for candidates with strong B2B collections experience and excellent communication skills.<br><br>Responsibilities:<br>• Manage an assigned portfolio of past-due accounts by conducting outreach, securing payment commitments, and documenting all actions to reduce aging and improve cash recovery.<br>• Utilize standardized call models to engage clients, providing clear updates on account statuses and next steps.<br>• Identify and document invoice-level disputes, promptly routing them to appropriate teams for resolution while tracking their status.<br>• Enforce payment terms for undisputed balances by securing payments, promises to pay, or approved arrangements, and escalating accounts as needed.<br>• Monitor payment commitments and promptly follow up on missed agreements to ensure compliance with established policies.<br>• Maintain accurate, real-time account notes in systems such as ConnectWise and NetSuite to support reporting and escalation processes.<br>• Achieve individual performance metrics, including call activity targets, promise-to-pay rates, dollars collected, and aging reductions.<br>• Collaborate effectively with cross-functional teams, including Client Experience, Account Management, Operations, and Finance leadership, to address disputes and ensure risk visibility.<br>• Participate in coaching sessions and performance reviews to continuously improve effectiveness and meet organizational goals.
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>