Full-Time
Accounts Receivable Specialist
Updated on 8/23/2026
Houston Methodist
Academic medical system
No salary listed
Katy, TX, USA
Hybrid
Category
 Accounting (1) |
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Required Skills
Epic (EHR)
Inventory Management
Requirements
- A high school diploma or equivalent education is required.
- Five years of experience in hospital billing and insurance follow-up, preferably in a large-volume setting, is required.
- English speaking, reading, and writing proficiency sufficient to perform essential job functions is required.
- Extensive knowledge of claims reimbursement and insurance collection practices for managed care, Medicare and Medicaid, workers compensation, and related payors is required.
- Knowledge of how to interpret payor contracts, guidelines, and requirements is required.
- Extensive knowledge of billing, collections, reimbursement, contractual agreements, and the appeals process is required.
- Proficiency with computers and the ability to learn and navigate multiple software programs is required.
- Knowledge of insurance accounts receivable and revenue cycle processes is required.
- Expert knowledge of state and federal insurance programs is required.
- Working knowledge of International Classification of Diseases coding, Current Procedural Terminology, and Healthcare Common Procedure Coding System is required.
- The ability to handle multiple tasks, exercise judgment in account resolution, work independently and collaboratively, and resolve patient and insurance accounts accurately and compliantly is required.
Responsibilities
- Prepare and process claims, clear billing edits, validate and submit claims, and perform receivable follow-up including collections, payment review, and denial management.
- Transfer charges, maintain records, ensure accurate registration, and maintain applicable documentation where applicable.
- Ensure claims billed to insurance or clients comply with state and federal regulations, grant provisions, and provider agreements.
- Ensure payments received are timely and correct.
- Interact daily with Central Business Office sub-units and hospital service areas to resolve patient and billing concerns after care.
- Collaborate with departments and vendors to ensure claims are billed and resolved compliantly and timely.
- Review incoming correspondence, respond to payor requests for additional information or documentation, and take appropriate action.
- Inform the manager of payor trends, requirement changes, barriers, and obstacles.
- Meet departmental standards for key performance indicators, including inventory management, productivity, quality reviews, and aging.
- Use available technology to submit claims or client invoices accurately, timely, and compliantly.
- Document every account action in system notes and provide balance detail identifying account resolution, the next responsible party, or next resolution steps.
- Resolve insurance or institutional balances after payment or adjudication, identify patient liability, and resolve accounts according to payment or client terms.
- Work receivable inventory, maintain institutional account lists, document arrangements or outstanding-balance reasons, perform collection efforts, establish or correct client or patient accounts, coordinate or post adjustments, contractual allowances, and refunds within authority, and submit appeals for denied claims as needed.
- Provide status updates on outstanding receivables or inventory, charging practices, and payment or payer trends when prompted by management.
- Organize time and priorities, minimize incidental overtime, use resources efficiently, and assist team members.
- Stay current on collection procedures, payor trends, and client agreement terms; participate in training and review activities and apply new learning.
- Generate and communicate ideas to improve quality or service.
Desired Qualifications
- Some college education is preferred.
- CRCS, CPAT, or another hospital billing certification, such as an EPIC certification, is preferred.
- Effective communication and negotiation skills and a professional approach to working with patients and insurance companies are preferred.
Houston Methodist is an academic medical system serving the Greater Houston region. The system provides hospital, specialty, emergency, outpatient, research, and medical education services across a network of care locations. It serves patients, families, clinicians, researchers, students, and communities across Southeast Texas. Its operating model centers on integrated hospitals and physician services supported by research institutes, education programs, technology, and system operations. Teams work across nursing, physicians, allied health, research, laboratories, technology, facilities, administration, and patient care. Teams support coordinated daily delivery.
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