Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 2) to independently manage moderately complex accounts receivable inventory and payer follow-up activities. This role evaluates assigned payer accounts, resolves standard to moderate claim denials and appeals, and brings accounts to final resolution in a timely manner and within established performance benchmarks. The Level 2 AR Specialist applies judgment when prioritizing accounts and selecting resolution pathways, identifies payer trends, and escalates complex or systemic reimbursement issues while ensuring compliance with industry regulations, practice protocols, and company policies.

Schedule

Monday-Thursday 8 am- 5 pm

Friday 8 am- 12 pm

(40 hour work week)

This position will be fully onsite at our HQ office located at 5929 Balcones Dr #200, Austin, TX 78731

Responsibilities

Independently manage assigned accounts receivable inventory, including aged claims spanning 31–120+ days.
Investigate and resolve standard to moderately complex claim rejections, denials, underpayments, and outstanding balances.
Prepare and submit appeals, corrected claims, and supporting documentation within payer filing deadlines.
Directly engage insurance payers through calls, portals, and written correspondence to resolve claim issues and secure appropriate reimbursement.
Apply judgment when prioritizing accounts and determining appropriate follow-up and resolution pathways.
Review claim history, payer responses, account documentation, and payment information to determine next steps.
Maintain accurate, thorough documentation of account activity, payer communications, and follow-up plans.
Identify recurring denial patterns and payer trends; escalate systemic issues and complex cases to a Level 3 AR Specialist or management.
Address routine to moderately complex patient account questions and escalate sensitive or unresolved concerns as needed.
Process account adjustments and write-off requests in accordance with company policies and assigned approval authority.
Collaborate with billing, coding, credentialing, and clinic teams to obtain information needed for claim resolution.
Meet established productivity, quality, and follow-up expectations while operating with moderate oversight.
Assist with Level 1 Accounts Receivable responsibilities across financial classes as business needs require.

Skills

Strong working knowledge of medical billing, insurance follow-up, denial management, and appeals processes.
Ability to independently investigate and resolve standard to moderately complex reimbursement issues.
Understanding of payer requirements, timely filing limits, explanation of benefits (EOBs), electronic remittance advice (ERAs), and common denial codes.
Ability to apply payer policies and basic coding and reimbursement concepts to claim resolution.
Sound judgment in prioritizing aged inventory, selecting resolution pathways, and recognizing when escalation is needed.
Ability to recognize recurring payer issues and clearly communicate trends with supporting examples.
Excellent written and verbal communication skills.
Strong attention to detail and ability to manage multiple workflows and deadlines.
Ability to maintain effective working relationships with patients, payers, medical staff, and internal teams.
Ability to remain calm and professional during challenging payer or patient conversations.

Supervisory Responsibilities

This position does not have formal supervisory responsibilities or direct reports. The Level 2 AR Specialist independently manages assigned inventory with moderate oversight and escalates complex, high-dollar, or systemic issues to a Level 3 AR Specialist or management.

Benefits

Minimum of 2–4 years of medical billing, collections, or accounts receivable experience within a healthcare environment.
Demonstrated experience independently resolving standard to moderately complex denials and appeals.
Experience communicating directly with insurance payers to resolve outstanding claims.
Proficiency with electronic health record (EHR) systems, payer portals, clearinghouses, and medical billing software.
High school diploma or equivalent.

Preferred Education and Experience

Certified Revenue Cycle Specialist (CRCS), Certified Professional Coder (CPC), or equivalent revenue cycle certification.
Experience managing aged accounts receivable inventory across multiple payers.
Proficiency with Microsoft Excel for tracking account activity and identifying trends.
Experience in an Allergy & Sinus specialty practice.
Experience with NextGen EHR.

Benefits & Perks

Medical, Dental and Vision Insurance
Generous Paid Time Off and Paid Holidays
401(k) + Generous Employer Match
Life Insurance
Gym Membership Discounts

Aspire Allergy & Sinus is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.