Physician AR Specialist
Houston, TX
Category: Healthcare
Reference ID: 10066178
Shortcut: http://addisongroup.gosnaphop.com/VJHk8e
Job Title: Physician A/R Specialist
Location: Houston, TX (Galleria Area)
Industry: Healthcare / Revenue Cycle Management
Pay: $20–$23 per hour
Job Type: Contract-to-Hire
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a healthcare organization seeking an experienced Physician A/R Specialist to support professional claims follow-up in a value-based reimbursement environment. This role is ideal for strong collectors who understand the full claims lifecycle and are comfortable managing high volumes of commercial payer follow-up.
Job Description:
The Physician A/R Specialist is responsible for resolving assigned accounts receivable, managing claim follow-up, and ensuring timely reimbursement from major commercial payers. This role requires strong EOB interpretation skills, persistence in denial resolution, and the ability to meet daily productivity expectations.
Key Responsibilities:
- Manage assigned professional claims (CMS-1500 / 837P) from submission through resolution.
- Follow up with major commercial payers (BCBS, UHC, Cigna, Aetna, etc.) on outstanding claims.
- Read and interpret EOBs to identify denial reasons and underpayments.
- Submit appeals and supporting documentation as needed.
- Verify insurance benefits and ensure accurate payer information is updated.
- Obtain medical records and supporting documentation to facilitate payment.
- Process required claim adjustments per department protocol.
- Handle medical record requests and assist with related service tickets.
- Communicate assertively with payers to obtain accurate claim status updates.
- Maintain clear, professional documentation in all systems.
Qualifications:
- Minimum 2 years of medical collections experience required (3–5 years preferred).
- Strong understanding of the claims process from beginning to end.
- Ability to read and analyze EOBs.
- Experience with commercial payer collections required.
- Cardiology experience strongly preferred.
- Knowledge of managed care plans (HMO, PPO, etc.).
- Proficiency in Microsoft Word, Outlook, and Excel.
- Strong written and verbal communication skills.
- Assertive, detail-oriented, and comfortable working high-volume payer accounts.
- Tech-savvy and able to navigate multiple systems simultaneously.
Additional Details:
- Schedule:
- Training: Monday–Friday, 8:00am–5:00pm
- Post-training: Flexible start time between 7:30am–8:30am
- Work Model: Hybrid (3 days onsite / 2 days remote after training)
- Assignment Type: Contract-to-Hire
- Environment: Business office setting
- Dress Code: Business casual
- Start Date: 1–2 weeks after offer
Perks:
- Hybrid flexibility after training
- High-impact role in value-based reimbursement environment
- Opportunity to develop advanced payer negotiation and denial resolution skills
- Supportive team environment with performance coaching
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
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