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 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, 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.

orthomedanesthesia.com · 15305 Dallas Pkwy, Suite 900, Addison, TX 75001 · (469) 863-9978

• 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.