Revenue Success Advocate (Accounts Receivable Specialist)

About Care for Kids

Founded in 2011, Care for Kids is a leading Texas-based pediatric healthcare organization dedicated to making high-quality medical care more accessible, convenient, and compassionate for children and families. With 20+ clinics across the Dallas–Fort Worth, Houston, and Austin metropolitan areas, the organization provides pediatric urgent care, primary care, telemedicine, and school-based healthcare services.

Care for Kids is committed to closing gaps in pediatric healthcare through innovation, operational excellence, and a patient-centered approach. By combining experienced healthcare professionals, extended clinic hours, and accessible medical services, the organization strives to deliver exceptional care while supporting the health and well-being of the communities it serves.

Job Overview

We are seeking a detail-oriented and motivated Revenue Success Advocate (Accounts Receivable Specialist) to support accurate claims processing, timely reimbursement, and effective resolution of outstanding accounts receivable. The ideal candidate has experience in healthcare revenue cycle processes, insurance payment posting, claims follow-up, and denial management, with strong organization and communication skills.

Responsibilities

- Accurately process accounts receivable transactions, including insurance payments, adjustments, and account corrections.
- Review assigned insurance claims to determine appropriate reimbursement based on payor requirements.
- Monitor outstanding balances, prioritize aging accounts, and maintain accurate account records.
- Follow up regularly with insurance carriers to verify claim status and facilitate reimbursement.
- Review patient accounts and pursue claim corrections, adjustments, reconsiderations, and appeals as appropriate.
- Investigate denied, rejected, or underpaid claims and resolve discrepancies.
- Use payor portals to research claim details, payment status, and reimbursement requirements.
- Document follow-up activities and resolution steps accurately and promptly.
- Communicate with insurance representatives regarding claim inquiries and payment discrepancies.
- Work with patients and clinic teams to obtain missing information and correct claim details.
- Respond to requests for documentation and collaborate with revenue cycle colleagues to address recurring issues.

Qualifications

- High school diploma or equivalent.
- At least 2 years of healthcare insurance payment posting experience with multiple payors.
- Experience using Electronic Medical Record (EMR) systems.
- Ability to navigate insurance payor websites and portals and interpret Explanation of Benefits (EOBs).
- Working knowledge of healthcare terminology, medical procedure coding, reimbursement, and adjustments.
- Proficiency in Microsoft Office 365, especially Excel.
- Strong organization, attention to detail, time management, and written and verbal communication skills.

Preferred Qualifications

- Experience in healthcare A/R follow-up, denial management, appeals, and underpayment resolution.
- Experience working with multiple commercial and government insurance payors.
- Ability to independently manage assigned worklists and complex claim issues.

Equal Employment Opportunity

We are an Equal Opportunity Employer. Employment decisions are based on qualifications, merit, and business needs without regard to legally protected characteristics.