Revenue Success Advocate (Accounts Receivable Specialist)

Goodside Health/Urgent Care for Kids•Fort Worth, TX

About The Position

Care for Kids is seeking a detail-oriented and motivated Revenue Success Advocate to support accurate claims processing, timely reimbursement, and effective resolution of outstanding accounts receivable. The role requires experience with healthcare revenue cycle processes, insurance payment posting, claims follow-up, and denial management, as well as strong organizational and communication skills.

Requirements

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.

Nice To Haves

Experience in healthcare accounts receivable 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.

Responsibilities

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 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 about claim inquiries and payment discrepancies.
Work with patients and clinic teams to obtain missing information and correct claim details.
Respond to documentation requests and collaborate with revenue cycle colleagues to address recurring issues.