Revenue Cycle Specialist II - AR & Denials Follow-Up

ENT Specialty Partners; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

ENT Specialty Partners in Dallas, TX seeks an Insurance AR Follow-Up Specialist to manage and perform insurance accounts receivable follow-up, including claim status review, denials, reconsiderations, and appeals.

The ideal candidate will understand the insurance billing and reimbursement process and work independently to resolve claim issues, with ENT experience preferred but not required.

Qualifications

• Minimum of 3–5 years of hands-on experience in medical insurance AR follow-up.
• Demonstrated experience with insurance claim follow-up, denials, reconsiderations, and appeals.
• Strong understanding of insurance payer requirements, claim processing, timely filing, authorizations, eligibility, coding-related denials, medical records requests, and other common reimbursement issues.

Responsibilities

• Perform timely and thorough insurance AR follow-up on outstanding claims and balances.
• Monitor claim status and contact insurance carriers to resolve unpaid, underpaid, and denied claims.
• Research and work denials, reconsiderations, appeals, and payer requests for additional information or medical records.
• Identify root causes of claim denials and determine appropriate resolution including corrected claims, reconsiderations, appeals, or documentation.
• Review claim history, payments, adjustments, charges, and account activity within the EHR to ensure accurate account resolution.
• Review and interpret insurance correspondence, EOBs, remittance information, and payer responses.
• Coordinate with providers and internal departments when additional information or documentation is required.
• Maintain accurate and detailed documentation of AR follow-up activity and payer communications.
• Follow HIPAA requirements when handling patient information and providing or requesting medical records.
• Enter and maintain account and claim information within the computer system.
• Work AR inventory according to priorities and productivity expectations.
• Respond to account-related correspondence and payer inquiries promptly.
• Provide professional customer service to patients and families regarding insurance balances.
• Work independently and as part of a team to meet departmental goals.
• Maintain confidentiality of patient and company information.
• Perform other duties as assigned.

Skills

Insurance AR follow-up

Denials handling

Appeals processing

HIPAA compliance

Independent work

Tools

EHR system

Billing software

Job description

*Please note that we are only considering applicants who currently reside in Texas, Maryland, Virginia, or Pennsylvania*

Insurance AR Follow-Up Specialist

This position is responsible for managing and performing insurance accounts receivable (AR) follow-up , including claim status review, denials, reconsiderations, appeals, and resolution of outstanding insurance balances. The ideal candidate will have a strong understanding of the insurance billing and reimbursement process and be able to independently identify and resolve claim issues. ENT experience preferred, not required.

Primary Responsibilities

• Perform timely and thorough insurance AR follow-up on outstanding claims and balances.
• Monitor claim status and contact insurance carriers to resolve unpaid, underpaid, and denied claims.
• Research and work denials, reconsiderations, appeals, and payer requests for additional information or medical records .
• Identify the root cause of claim denials and determine the appropriate resolution, including corrected claims, reconsiderations, appeals, or additional documentation.
• Review claim history, payments, adjustments, charges, and account activity within the EHR to ensure accurate account resolution.
• Review and interpret insurance correspondence, Explanation of Benefits (EOBs), remittance information, and payer responses.
• Coordinate with providers and internal departments when additional information, documentation, coding clarification, or other action is required to resolve a claim.
• Maintain accurate and detailed documentation of all AR follow-up activity and payer communications.
• Follow HIPAA requirements when handling patient information and providing or requesting medical records.
• Accurately enter and maintain account and claim information within the computer system.
• Work assigned AR inventory according to established priorities, productivity expectations, and follow-up timeframes.
• Respond to account-related correspondence and payer inquiries in a timely manner.
• Provide professional and respectful customer service to patients and their families when assistance is needed regarding insurance balances.
• Work effectively both independently and as part of a team to meet departmental goals.
• Maintain confidentiality of patient and company information.
• Perform other related duties as assigned.

The ability to independently work insurance AR, denials, reconsiderations, and appeals is a key expectation of this position. Candidates should have a demonstrated foundation of at least 3–5 years of experience in these areas.

Qualifications

MINIMAL REQUIREMENTS:

• Minimum of 3–5 years of hands-on experience in medical insurance AR follow-up. ENT a plus.
• Demonstrated experience with insurance claim follow-up, denials, reconsiderations, and appeals.
• Strong understanding of insurance payer requirements, claim processing, timely filing, authorizations, eligibility, coding-related denials, medical records requests, and other common reimbursement issues.
• Experience researching unpaid and denied claims, determining the appropriate next action, and documenting follow-up activity accurately.
• Ability to work independently and manage a high-volume AR workload while meeting established productivity and quality expectations.