Job Details: Job Location: Addison Billing Entity - ADDISON, TX, Salary Range: Undisclosed, 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. Qualifications: