Revenue Cycle Specialist II - AR & Denials Follow-Up

E.N.T. Specialty Partners; Irving (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

E.N.T. Specialty Partners is seeking an Insurance AR Follow-Up Specialist to manage medical insurance accounts receivable follow-up, including status reviews, denials, reconsiderations, and appeals.

The role requires independent problem solving within high-volume AR workflows and HIPAA-compliant handling of patient information. The candidate should have 3–5 years of hands-on experience in insurance AR follow-up, strong payer knowledge, and the ability to work effectively with providers and

Qualifications

• Hands-on experience with medical insurance AR follow-up (3–5 years).
• Experience identifying root causes of claim denials and resolving them.
• Familiarity with payer requirements, timely filing, and documentation requests.

Responsibilities

• Perform insurance AR follow-up on outstanding claims and balances.
• Review EOBs, remittance advice, and payer responses for accuracy.
• Discuss and coordinate with providers for necessary information to resolve claims.
• Maintain documentation of follow-up actions and communications.

Skills

Insurance AR follow-up

Denials management

Payer communications

HIPAA compliance

Education

Medical billing knowledge

EHR systems

Job description

*Please note that we are only considering applicants who currently reside in Texas, Maryland, Virginia, or Pennsylvania*Insurance AR Follow-Up SpecialistThis 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.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.