The AR Specialist 2 is responsible for resolving complex accounts receivable inventory, including denied, underpaid, aged, high-priority, payer-specific, or repeatedly unresolved claims.
This role focuses on denial analysis, reconsiderations, corrected claims, formal appeals, reimbursement variance review, and payer-specific resolution strategies.
The position serves as a higher-level resource within the assigned payer group and uses claim-resolution judgment, payer policy knowledge, account research, and documentation quality to improve reimbursement outcomes. The AR Specialist 2 may also support escalation review and reinforce standard follow-up practices for AR Specialist 1 team members.
This position is on-site at the OrthoMed Anesthesia corporate office in Addison, TX.
Qualifications
- High school diploma or GED required; associate’s degree in healthcare administration, business, finance, or related field preferred.
- 2+ years of medical billing, healthcare AR, claims follow-up, denial management, appeals, or revenue cycle experience.
- Ability to interpret EOBs, ERAs, payer correspondence, denial codes, reimbursement variances, and payer-specific appeal requirements.
- Strong claim-resolution judgment with the ability to determine when to pursue follow-up, corrected claim submission, reconsideration, appeal, escalation, or adjustment review.
- Strong attention to detail, organization, follow-through, and clear written documentation.
- Comfort using billing systems, payer portals, Microsoft Outlook, Microsoft Excel, and standard office tools.
- Ability to maintain confidentiality and follow HIPAA, payer, and company compliance requirements.
Preferred qualifications
- Anesthesia, professional-fee, physician-based, or surgical billing experience.
- Experience preparing appeal letters, managing denial inventories, researching payer policy, and tracking appeal outcomes.
- Experience with Medicare, Medicaid, commercial payer portals, Availity, clearinghouse tools, or payer-specific claim status platforms.
- Coursework toward or completion of AAPC, CRCR, medical billing, coding, or revenue cycle certification.
- Intermediate Excel skills for work queue tracking, aging review, denial trend analysis, or productivity reporting.
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago