The Accounts Receivable Specialist II supports the Practice’s financial performance by managing intermediate to complex accounts receivable work with greater independence, judgment, and problem-solving. This role performs advanced follow-up, denial resolution, payment review, and account analysis to improve reimbursement outcomes, reduce AR aging, and resolve payer-related issues efficiently. The position also helps identify trends, supports workflow improvements, and serves as a knowledgeable resource within the department.
This is a full-time position with the possibility of working remote in the states of Oregon and Washington. Quarterly in-office meetings are required to attend in person. Hours are flexible but typically go from 8:30am-5pm with a 30-minute lunch.
Essential Job Functions
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Performs advanced accounts receivable functions with increasing independence and accountability to support timely reimbursement, denial resolution, and revenue cycle performance.
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Demonstrates strong working knowledge of payer follow-up, appeals, account research, underpayment review, and reimbursement workflows while applying sound judgment, identifying trends, and supporting consistent departmental standards.
Workflow Operations
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Manages assigned AR work queues, follow-up activities, and aged accounts within established productivity and quality expectations.
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Resolves intermediate to complex claim, denial, underpayment, and account issues using established workflows, payer guidelines, and critical thinking.
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Reviews payment variances, denial patterns, and unresolved account barriers to determine appropriate corrective action.
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Initiates reconsiderations, appeals, corrected claims, or other account actions based on payer findings and supporting documentation.
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Coordinates with internal departments as needed to resolve account issues involving registration, coding, authorization, charge entry, or documentation.
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Identifies reimbursement trends, workflow issues, or payer behavior that may affect financial performance and escalates appropriately.
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Supports reduction of AR aging through timely follow-up, strong account ownership, and effective resolution strategies.
Documentation and Business System/EHR
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Documents account activity, payer communication, findings, and next steps thoroughly, accurately, and in a timely manner.
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Uses EHR, practice management systems, payer portals, clearinghouses, and other business systems to research and resolve account issues.
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Maintains clear, complete documentation that supports continuity, audit readiness, and effective handoff when needed.
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Reviews and updates account information with strong attention to detail and data integrity.
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Uses system tools and account history to identify patterns, confirm prior actions, and support appropriate resolution.
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Helps reinforce documentation standards that improve visibility, consistency, and reimbursement follow-through.
Communication
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Communicates clearly, professionally, and effectively with payers, patients, and internal team members regarding account status and resolution needs.
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Explains account issues, payer responses, and next steps in a clear and actionable manner.
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Escalates unresolved issues, payment barriers, trends, or payer concerns with appropriate context and supporting detail.
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Collaborates across departments to resolve issues that affect reimbursement, work quality, or patient financial experience.
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May provide guidance or clarification to less experienced staff on routine workflows, payer interpretation, or account handling.
Autonomy
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Works independently on routine AR assignments after training and within established guidelines.
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Demonstrates sound judgment in completing standard follow-up, documentation, and account correction tasks.
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Recognizes when issues exceed role scope and requires support, escalation, or additional review.
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Maintains organization and follow-through with regular supervision and prioritization support as needed.
Complexity Band
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Works independently on a broad range of routine and moderately complex AR accounts with limited day-to-day direction.
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Exercises sound judgment in selecting next steps, interpreting payer responses, and determining when escalation is necessary.
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Prioritizes work effectively based on account status, aging, financial impact, and departmental priorities.
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Recognizes when issues require cross-functional collaboration, leadership review, or elevated intervention.
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May assist with onboarding support, peer questions, or workflow reinforcement within role scope.
Other
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Regular, predictable, and reliable attendance is required to perform the essential duties of this position and to meet operational deadlines, maintain team coverage, and complete time-sensitive work that depends on in-person coordination and access to on-site systems/resources. Employees must report to work as scheduled, be punctual, and remain at work for assigned hours. For roles requiring coordination with patients, providers, and/or teams, consistent availability during scheduled hours is necessary to maintain safe and effective operations, continuity of work, and timely completion of job responsibilities. Employees must follow established call-out and scheduling procedures and provide timely notice of unscheduled absences when feasible. OSG will comply with applicable federal and Oregon laws regarding protected leave and reasonable accommodations.
- When remote work is approved, the employee must be reliably accessible via agreed communication channels and able to perform duties effectively during the scheduled workday.
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Performs other related duties as assigned by management, for which appropriate training will be provided, to support departmental objectives and organizational success.
Required Qualifications
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High school diploma or equivalent.
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Minimum 3 years of experience in healthcare revenue cycle, medical billing, accounts receivable, denial resolution, or insurance follow-up.
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Working knowledge of claims processing, payer follow-up, denial management, underpayment review, and reimbursement workflows.
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Proficiency with payer portals, clearinghouses, EHR/practice management systems, and standard office software.
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Strong attention to detail with the ability to analyze account activity, document findings clearly, and manage multiple priorities.
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Ability to work independently, communicate professionally, and maintain confidentiality in a fast-paced healthcare environment.
Preferred Qualifications
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Associate degree or related coursework in healthcare administration, business, or medical office administration.
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At least 3 years’ experience in specialty practice, oncology, infusion, or other complex reimbursement environments.
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Familiarity with Medicare, Medicaid, commercial, and managed care payer requirements.
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Two years’ experience with appeals, underpayment analysis, payer trend review, or cross-functional revenue cycle problem-solving.
A successful Accounts Receivable Specialist II will…
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Resolve moderately complex AR issues with sound judgment, persistence, and strong follow-through.
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Analyze denials, payment variances, and account history to determine effective next steps.
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Work independently while recognizing when issues require escalation or collaboration.
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Communicate clearly and professionally with payers, patients, and internal teams.
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Maintain accurate documentation and use business systems effectively to support account resolution.
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Contribute to team success by sharing knowledge, identifying trends, and supporting efficient reimbursement processes.
