Accounting & Medical Billing Specialist

Port Medical Management is seeking an experienced Accounting & Medical Billing Specialist to join our Houston office. This is an in-office full-time position supporting a fast-moving maritime management company that coordinates medical care, case management, billing, auditing, provider negotiation, and cost control for seafarers, vessel operators, agents, owners, managers, and P&I interests across U.S. ports.

This role is ideal for someone who is proficient in Quick Books (desktop and on-line), understands medical billing and providers invoices, and can stay organized in an environment where accuracy, urgency, confidentiality, negotiation, and follow-up matters.

The right candidate will support both day-to-day accounting functions and the medical billing process, working closely with operations, case managers, medical providers, hospitals, and management. Seeking a candidate that is highly organized and detail oriented.

Has the ability to communicate clearly and professionally by phone and email. Comfortable asking questions and chasing down missing claims.

Ability to work independently while staying aligned with management and operations protocol.

Possess an understanding that billing is not just data entry , but an important part of customer service, cost control, provider management , and revenue protection process.

Houston, Texas, in office near downtown / Montrose area

• Manage day-to-day accounting entries in Quick Books, including accounts payable, accounts receivable, vendor bills, customer invoices, payments, deposits, and reconciliations.
• Review hospital, clinic, and medical provider invoices for accuracy, completeness, proper documentation, and billing discrepancies.
• Negotiate bills with hospitals, clinics, physicians, specialists, laboratories, imaging centers, and other medical providers to reduce excessive or unsupported charges where appropriate.
• Prepare and issue consolidated invoices to customers, vessel owners’ interests, insurers, P&I Clubs, and other responsible parties.
• Communicate professionally with hospitals, medical providers, customers, agents, and internal team members regarding billing questions, missing documentation, negotiated adjustments, payment status, and invoice backup.
• Assist with payment posting, vendor payments, customer account reconciliation, and month-end close support.
• Maintain organized digital and physical records for billing files, medical invoices, negotiation notes, provider correspondence, customer backup, and accounting documentation.

• Prior accounting, bookkeeping, or billing experience.
• Strong Quick Books experience including Desktop and online version.
• Proficient with Microsoft Office, especially Excel and Outlook.

• Experience in healthcare, medical management, claims, case management billing, maritime, insurance, P&I, transportation, or logistics.
• Experience reviewing and negotiating hospital, clinic, physician, laboratory, imaging, or other medical provider bills.
• Accounts payable and vendor reconciliation experience.
• Experience working in a small or mid-sized business where responsibilities may cross accounting, billing, operations support, provider negotiation, and customer service.

• Compensation will be based on experience.