AR Specialist 2

OMS MEDICAL BILLING LLC • Addison, TX

29d • Onsite

About The Position

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.

Requirements

• High school diploma or GED required
• 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.

Nice To Haves

• Associate’s degree in healthcare administration, business, finance, or related field preferred.
• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED