Medical AR Specialist / Collector

Vital Heart & Vein, established in 1998, is the largest private cardiology practice in the Houston area, dedicated to providing high-quality, compassionate cardiovascular care. The practice includes 40 board-certified physicians specializing in cardiovascular disease, interventional cardiology, vascular and endovascular surgery, advanced heart failure, and podiatry. Vital Heart & Vein offers advanced diagnostic testing and comprehensive therapies for coronary, electrophysiology, vascular, and vein diseases. The organization serves patients across the greater Houston area, including Humble, Pearland, West Houston, Beaumont, Northwest Houston, and the Texas Medical Center, providing broad access to specialized cardiac and vascular care.

We are seeking an experienced and detail-oriented Medical AR Specialist to join our Revenue Cycle team. This role is responsible for managing the full accounts receivable cycle, including claim follow-up, denial management, payment posting, and collections with a focus on cardiology and vascular service lines. The ideal candidate is a self-starter who thrives in a fast-paced environment, takes ownership of their assigned payers, and is passionate about maximizing revenue recovery.

KEY RESPONSIBILITIES

• Manage and work assigned AR work queues in eClinicalWorks daily, prioritizing high-dollar and aged accounts
• Conduct timely follow-up on outstanding claims with commercial, Medicare, Medicare Advantage, and Medicaid payers
• Identify, analyze, and resolve claim denials including medical necessity, timely filing, coding, authorization, and eligibility-related denials
• Submit and track appeals with supporting clinical documentation within payer deadlines
• Interpret and post ERA/EOB remittance accurately — identify underpayments and contractual adjustment discrepancies
• Contact payers via phone and portal to obtain claim status, resolve rejections, and elevate unresponsive accounts
• Maintain detailed and accurate documentation of all follow-up activity in eCW
• Meet or exceed daily productivity targets.
• Identify denial trends and communicate root causes to supervisor for upstream correction
• Collaborate with billing, coding, and front-end teams to resolve claim issues and prevent recurring denials
• Adhere to all HIPAA regulations and company compliance standards

REQUIRED QUALIFICATIONS

• Minimum 2 years of experience in medical billing, AR follow-up, or collections in a healthcare setting
• Working knowledge of cardiology CPT codes
• Strong understanding of CARC and RARC denial codes and appropriate resolution actions
• Familiarity with ICD-10, CPT, and HCPCS coding basics
• Strong attention to detail, organizational skills, and ability to manage high-volume workloads

WHAT WE OFFER

• Competitive compensation based on experience
• Comprehensive benefits package- medical, dental, vision, and paid time off
• Collaborative and supportive team environment
• Opportunity for growth within a fast-growing cardiology and vascular specialty practice
• Exposure to a full-service revenue cycle operation across multiple service lines and locations