AR Specialist 2

AR Specialist 2

AR Specialist 2

Department: RCM AR

Reports To: AR Manager

FLSA Status: Non-Exempt

Location: Onsite, Corporate Headquarters, Addison, TX

Position Summary

The 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 payer-specific 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, payer-specific, or repeatedly unresolved claims.

Analyze EOBs, ERAs, payer correspondence, remittance detail, claim history, and payer policy requirements to determine root cause and appropriate resolution strategy.

Prepare, submit, and track reconsiderations, corrected claims, formal appeals, and supporting documentation 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 leadership teams 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, reviewing escalation items, and reinforcing standard documentation and follow-up practices.

Maintain thorough, audit-ready documentation of denial analysis, appeal rationale, payer communication, supporting evidence, submission dates, and final outcomes.

Meet productivity, quality, appeal turnaround, and resolution expectations while balancing accuracy, 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, or revenue cycle experience.

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, 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.

Work Environment & Physical Requirements

On-site position based at the OrthoMed Anesthesia corporate office in Addison, TX, during regular 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 the essential functions of the role.