AR Specialist 2

AR Specialist 2Department: RCM – ARReports To: AR ManagerFLSA Status: Non-ExemptLocation: Onsite, Corporate Headquarters, Addison, TXPosition SummaryThe AR Specialist 2 is responsible for resolving complex AR inventory, including denied, underpaid, aged, high-priority, payer-specific, or repeatedly unresolved claims. This position focuses on denial analysis, reconsiderations, corrected claims, formal appeals, reimbursement variance review, and payerspecific resolution strategies.This role serves as a higher-level resource within the assigned payer group and is expected to use sound claim-resolution judgment, payer policy knowledge, account research, and documentation quality to drive 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.Key Responsibilities• Manage more complex AR inventory, including denied, underpaid, aged, high-priority, payerspecific, or repeatedly unresolved claims.• Analyze EOBs, ERAs, payer correspondence, remittance detail, claim history, and payer policyrequirements to determine root cause and appropriate resolution strategy.• Prepare, submit, and track reconsiderations, corrected claims, formal appeals, and supportingdocumentation packages in accordance with payer deadlines and requirements.• Investigate and resolve denials related to authorization, eligibility, medical necessity, timely filing,coding or modifier discrepancies, payer processing errors, and reimbursement variances.• Coordinate with coding, billing, clinical documentation, credentialing, contracting, and leadershipteams when complex claim resolution requires cross-functional review.• Identify recurring denial trends, payer behavior, documentation gaps, and reimbursement risks;communicate findings and recommended actions to the Team Lead.• Support AR Specialist 1 team members by answering payer workflow questions, reviewingescalation items, and reinforcing standard documentation and follow-up practices.• Maintain thorough, audit-ready documentation of denial analysis, appeal rationale, payercommunication, supporting evidence, submission dates, and final outcomes.• Meet productivity, quality, appeal turnaround, and resolution expectations while balancingaccuracy, compliance, and reimbursement impact.Required Skills & 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, orrevenue cycle experience.orthomedanesthesia.com · 15305 Dallas Pkwy, Suite 900, Addison, TX 75001 · View phone number on click.appcast.io• Demonstrated 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, correctedclaim 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 standardoffice tools.• Ability to maintain confidentiality and follow HIPAA, payer, and company compliancerequirements.Preferred Qualifications• Anesthesia, professional-fee, physician-based, or surgical billing experience.• Experience preparing appeal letters, managing denial inventories, researching payer policy, andtracking appeal outcomes.• Experience with Medicare, Medicaid, commercial payer portals, Availity, clearinghouse tools, orpayer-specific claim status platforms.• Coursework toward or completion of AAPC, CRCR, medical billing, coding, or revenue cyclecertification.• Intermediate Excel skills for work queue tracking, aging review, denial trend analysis, orproductivity reporting.Work Environment & Physical Requirements• On-site position based at the OrthoMed Anesthesia corporate office in Addison, TX, duringregular business hours.• Primarily an office setting involving extended periods of computer, telephone, and seated work.• Occasional travel may be required for meetings, training, or payer-related engagements.• Reasonable accommodations may be made to enable individuals with disabilities to perform theessential functions of the role. #J-18808-Ljbffr Oms Medical Billing Llc