Accounts Receivable Specialist

Heart of Texas Behavioral Health Network (Previously known as Heart of Texas MHMR)
Waco, TX
The Accounts Receivable Specialist is responsible for managing the full accounts receivable lifecycle, including billing, collections, cash application, and reimbursement tracking. This role plays a key part in optimizing cash flow, reducing outstanding receivables, and ensuring accurate revenue recognition in a behavioral health setting with Medicaid, grant, and third-party funding sources.
This role directly impacts the organization’s cash flow, revenue accuracy, and financial sustainability by ensuring timely collections, aid in minimizing denials, and improving overall revenue cycle efficiency.

Examples of work performed
  • Monitor and manage accounts receivable aging reports
  • Follow up on outstanding balances and collections
  • Investigate and resolve billing discrepancies
  • Support and aid in billing processes (Medicaid, insurance, grants, and self-pay)
  • Retrieve authorization documentation requested for billing services
  • Track reimbursement timelines and variances
  • Apply payments to appropriate accounts and invoices
  • Reconcile cash receipts to general ledger
  • Assist with daily and monthly cash reconciliation
  • Analyze trends in collections, denials, and aging
  • Prepare reports on revenue cycle performance
  • Identify and escalate issues impacting cash flow
  • Assist with aging reports for denials & zero pays
  • Coordinate with billing and program staff to resolve issues
  • Maintain compliance with payer requirements and internal policies
  • Ensure proper documentation for audit and reporting purposes
  • Work closely with accounting, finance, and program teams
  • Support Financial Analysts with revenue data and insights
Experience and Education
  • HS Diploma/GED Required
  • Associates, bachelor's or equivalent experience preferred
  • 2-5 years of experience in accounts receivables, billing, or revenue cycle
Knowledge, Skills, and Abilities
  • Must be proficient in Microsoft Office Excel and financial systems
  • Must understand revenue cycle processes
  • Ability to problem solve and have investigative skills
  • Strong attention to details
  • Ability to manage multiple accounts and deadlines
  • Must have strong communication and follow-up skills
  • Must have valid driver's license and current and continued liability insurance.
Position: 836

Salary: Hourly $21.6346 Annually $45,000.00

Hours: Mon-Fri 8am-5pm

Benefits:
Heart of Texas Behavioral Health Network strives to offer competitive compensation and a comprehensive benefits package that includes:

Employer paid Health Insurance, no copays, no deductibles, 0 cost most prescriptions*
Employer paid Dental Insurance
Employer paid Life Insurance
Employer Paid Short Term Disability
Employer Paid Employee Assistance Program
Payroll Direct Deposit
12 paid Holidays per year
Excellent 401-K Retirement Plan (Center will contribute 12% of employee earnings)**
**Certain Requirements Apply**

Generous Paid Time Off (PTO) - begins after 3 months of full-time employment
Posted 2026-04-25

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