Company Overview
The Pain Rehabilitation Group of Wichita Falls is a dedicated pain management clinic committed to improving patients' quality of life through expert medication management and interventional pain procedures. We value compassionate care, innovation, and excellence in treatment.
We are seeking a results-driven, highly experienced Medical Accounts Receivable Specialist to join our dedicated team. This is an advanced, high-level role that requires immediate capability; it is strictly not a beginner or entry-level position. This is a strict, 100% full-time on-site position. Candidates must be physically present in the office 5 days a week; we will not consider remote, hybrid, or off-site arrangements under any circumstances.
The ideal candidate brings a high level of proven expertise to the revenue cycle, requiring recent, direct experience specifically processing insurance payments, adjustments, and medical collections. A strong focus on navigating the intricacies of pain management reimbursement and payments is highly preferred.
Key Responsibilities
- Claims & A/R Oversight: Monitor and manage the aging A/R reports, identifying and resolving claims older than 30 days.
- Denial Management & Appeals: Analyze denied claims, identify root causes, and prepare formal appeals or corrected claims for complex specialty services.
- Payer Communication & Collections: Proactively follow up with commercial and government payers (Medicare/Medicaid) regarding unpaid or underpaid claims, executing advanced collection strategies to maximize revenue recovery.
- Patient Financial Counseling: Communicate professionally with patients to explain statements, coordinate payment plans, and resolve complex billing inquiries.
- Payment & Adjustment Posting: Accurately post insurance and patient payments, contract write-offs, recoupments, and complex insurance adjustments to the appropriate accounts within the Practice Management system. Timely download explanations of benefits from various insurance carrier websites and post them to patient accounts with 100% accuracy.
- On-Site Collaboration: Work daily from our physical office location to collaborate directly with the administrative and clinical teams, ensuring seamless operational workflow.
Qualifications & Requirements
- Required Experience: Minimum of 3–5 years of recent, direct experience specifically focused on insurance payment processing, complex adjustments, and medical collections. Entry-level or beginner applicants will not be considered.
- Mandatory On-Site Schedule: Full, physical availability to work in the office Monday through Friday (5 days a week). Reliable daily attendance on-site is an absolute requirement for this role.
- Specialized Knowledge: Prior experience with Pain Management billing and coding (e.g., interventional procedures, injections, and E/M coding) is highly preferred.
- Online Payment Portal: Recent, hands-on experience utilizing a variety of insurance payment portals to retrieve and process payments.
- Technical Proficiency: Professional experience with major EHR and Practice Management systems (e.g., Athenahealth).
- Industry Standards: Solid understanding of ICD-10, CPT, and HCPCS coding, as well as strict adherence to HIPAA regulations.
- Education: High school diploma required; professional billing certification (e.g., CPB or CPC) is a significant advantage.
Professional Skills
- Analytical Thinking: Ability to investigate complex claim denials and identify trends in payer behavior.
- Attention to Detail: This position requires the ability to precisely identify and verify claim payments in accordance with contractual allowable amounts. The successful candidate must possess a deep understanding of insurance carrier allowables and contractual write-offs to accurately post and reconcile payments with 100% accuracy.
- Independent & Accountable: This role requires a dependable, accountable professional who thrives with minimal supervision. The ideal candidate is a proactive self-starter who fully grasps the significance of this position, consistently executing tasks with a strong sense of urgency and a commitment to precision.
- Attendance & Commitment: Perfect, reliable attendance is required for this full-time, five-day-a-week on-site position. The ideal candidate must be fully dedicated and able to commit 100% of their professional focus and physical presence to the responsibilities of this role.
- Communication: This role demands exceptional verbal and written skills necessary for effectively negotiating collections with insurance companies and navigating sensitive financial discussions with patients. The ideal candidate will maintain a high level of professionalism at all times, demonstrating the ability to communicate and build strong rapport with physicians, patients, and colleagues alike.
- Accuracy: Meticulous attention to detail in handling high-volume accounts, payment posting, and data entry.
Why Join Us?
- Competitive salary
- Company-paid health and vision insurance
- Generous Paid Time Off (PTO) and holiday schedule
- 401(K) contribution after one year of service
- A professional, collaborative environment focused on patient care and financial integrity
How to Apply: Please submit your resume and a brief cover letter highlighting your recent experience with insurance payment processing, complex adjustments, collections, and any specific background in pain management billing.
Pay: $17.00 - $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Please list all EMR systems that you have worked accounts receivable on.
- What is your desired hourly wage? (Do not leave this question blank or answer with negotiable)
- This is an onsite position, and will not be considered for remote. Please acknowledge that you have read this requirement and respond with the city and state you reside in.
- Why are you currently looking for a new job?
Experience:
- Medical Accounts Receivable: 3 years (Required)
Work Location: In person
