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 join our Revenue Cycle Management team.

This position is responsible for supporting the organization's financial performance by ensuring accurate claims processing, timely reimbursement, and effective management of outstanding accounts receivable.

The ideal candidate brings hands-on experience in healthcare revenue cycle management, insurance payment posting, claims follow-up, denial resolution, and appeals processing.

This individual must possess strong analytical, organizational, and communication skills, with the ability to independently manage assigned accounts, resolve complex reimbursement discrepancies, and collaborate effectively with insurance payors, patients, and internal clinic teams.

Responsibilities Accurately process accounts receivable transactions, including insurance and patient payments, adjustments, and account corrections.

Review insurance claims and validate payments against contractual reimbursement rates, identifying and resolving underpayments, inaccuracies, and discrepancies.

Monitor outstanding balances, prioritize aging accounts, and maintain accurate patient financial records.

Proactively follow up with insurance carriers to verify claim status, resolve outstanding issues, and facilitate timely reimbursement.

Investigate denied, rejected, or underpaid claims, initiating corrections, resubmissions, reconsiderations, and appeals in accordance with payor guidelines.

Utilize insurance payor portals and clearinghouses to research claim details, payment status, and reimbursement requirements.

Maintain accurate documentation of claim follow-ups, account adjustments, communications, and resolution efforts.

Respond to patient billing inquiries and collaborate with insurance representatives, providers, and clinic teams to resolve account discrepancies and obtain necessary documentation.

Conduct daily charge reviews and provide backup support for charge entry and payment posting functions.

Analyze clearinghouse rejections, denial trends, and payment patterns to identify recurring issues and recommend process improvements.

Meet established productivity, quality, and accuracy standards while independently managing assigned worklists and supporting departmental initiatives.

Qualifications High school diploma or equivalent.

Minimum of 2 years of experience in healthcare insurance payment posting and/or accounts receivable follow-up across multiple insurance payors.

Experience working with Electronic Medical Record (EMR) systems.

Ability to navigate insurance payor portals and interpret Explanation of Benefits (EOBs).

Working knowledge of healthcare terminology, medical coding fundamentals (CPT, HCPCS, ICD), reimbursement processes, and claim adjustments.

Proficiency in Microsoft Office 365, particularly Excel.

Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.

Excellent written and verbal communication skills, with the ability to independently manage high-volume workloads and competing priorities.

Preferred Qualifications Experience in healthcare A/R follow-up, denial management, appeals processing, and underpayment resolution.

Familiarity with insurance payor contracts and healthcare reimbursement methodologies.

Experience working with multiple commercial and government insurance payors.

Medical billing or coding certification, such as CPC or CPB.

Experience identifying denial trends, resolving clearinghouse rejections, and supporting revenue cycle process improvements.

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.

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