Revenue Cycle AR Specialist

Insurance AR Specialist

Addison Group is hiring for our client, a growing healthcare organization seeking an experienced Insurance AR Specialist I to join its Revenue Cycle team in Dallas.

This position is ideal for someone with strong insurance collections experience who enjoys investigating difficult accounts, communicating directly with payers, and finding solutions to reimbursement issues. The organization supports multiple specialties, creating an opportunity to work with a variety of claim types and insurance scenarios.

The Insurance AR Specialist will be responsible for researching and resolving outstanding insurance accounts from initial investigation through resolution. Rather than simply performing routine account follow-up, this position requires strong critical thinking and the ability to determine why a claim has not paid and what action is needed to resolve it.

The ideal candidate is comfortable challenging incorrect payer information, researching insurance guidelines, and taking ownership of complex accounts.

Key responsibilities include:

• Research and resolve outstanding and past-due insurance accounts
• Identify claim errors, missing information, and other issues preventing reimbursement
• Contact insurance carriers directly to investigate unpaid or delayed claims
• Review payer guidelines and determine appropriate next steps for account resolution
• Follow up on denied, underpaid, or incorrectly processed claims
• Prepare and submit appeals and other payer correspondence as needed
• Partner with physician practices to obtain medical records and supporting documentation
• Review accounts receivable reports and prioritize accounts requiring follow-up
• Maintain detailed documentation of all payer, patient, and internal communications
• Verify patient and guarantor information when researching credit balances or refunds
• Escalate delinquent accounts for additional collection activity when appropriate
• Assist with payment arrangements and account resolution when applicable
• Maintain accurate account files and documentation
• Provide additional support to Revenue Cycle team members during periods of high volume

Qualifications include:

• 2+ years of healthcare insurance collections or AR follow-up experience
• Strong understanding of insurance claims, denials, reimbursement, and accounts receivable
• Experience communicating directly with insurance payers
• Ability to independently research complex claims and determine appropriate resolution
• Comfortable questioning or escalating payer responses when information appears incorrect
• Strong understanding of healthcare insurance guidelines and claim workflows
• Excellent documentation and organizational skills
• Strong computer skills and ability to learn new systems

Preferred qualifications include:

• Previous dental, oral surgery, or physician billing experience
• Experience supporting multiple medical specialties
• Exposure to both medical and dental insurance billing
• Experience working with complex specialty claims

Productivity expectations include:

• Manage approximately 3540 accounts per day
• Productivity is evaluated with an emphasis on meaningful progress toward account resolution, rather than simply touching a high number of accounts
• Maintain thorough account notes and accurate documentation
• Demonstrate consistent productivity across the workweek

The ideal candidate is:

• A strong problem-solver and critical thinker
• Comfortable digging into an account to determine the true cause of nonpayment
• Confident communicating and negotiating with insurance carriers
• Able to recognize when payer information may be incomplete or inaccurate and research further
• Adaptable and able to learn new specialties and reimbursement requirements
• Strong work ethic with consistent follow-through
• Detail-oriented and organized
• Team-oriented while capable of managing an independent workload

Additional details include:

• Direct hire opportunity
• Fully onsite position in Dallas, TX
• MondayFriday daytime schedule
• Some flexibility around start and end times may be available once a consistent schedule is established
• One-step onsite interview process

Benefits include:

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) with employer matching
• Employee referral program

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.