AR Specialist 2

Oms Medical Billing; Addison (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

OrthoMed Anesthesia in Addison, TX is seeking an AR Specialist 2 to resolve complex AR inventory, including denied and underpaid claims. You will analyze payer data, submit appeals, and coordinate cross-functionally to improve reimbursement outcomes.

The role requires 2+ years in medical billing or denial management, with strong attention to detail and HIPAA compliance. On-site at the Addison corporate office, with standard business hours.

Qualifications

• High school diploma or GED required; associate’s degree preferred.
• 2+ years of medical billing, healthcare AR, or denial management experience.

Responsibilities

• Resolve complex AR issues including denied or underpaid claims.
• Analyze EOBs and payer data to determine root causes.
• Prepare and submit reconsiderations, corrected claims, and appeals.
• Investigate denials related to authorization, eligibility, or coding.
• Collaborate with coding, billing, and leadership teams on complex cases.
• Identify denial trends and communicate recommendations to team.
• Support AR Specialist 1 with payer workflow questions and follow-up.

Skills

Medical billing

AR follow-up

Denial management

HIPAA compliance

Customer service

Education

Associate degree preferred

Tools

Microsoft Excel

Billing systems

Payer portals (Availity)

Job description

Job Details: Job Location: ADDISON, TX 75001, 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 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 [phone]

• 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.