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AR Rep II -Hospital Denials Specialist

Plano, TX 75024

Employment Type: Contract to Hire Industry: Healthcare Job Number: 8629 Pay Rate: 27.00

Job Description


Job Title: AR Representative II – Hospital Denials Specialist
Location: Plano, TX 75024
Pay Rate: $26–$28/hour
Employment Type: Contract-to-Hire
Start Date: Targeting Mid-August (Week of August 18)
Openings: 4
Work Schedule: Monday–Friday | 8-hour shift starting between 7:00 AM – 9:00 AM CST
Work Environment: Hybrid – Onsite Mon–Thurs / Work from Home Fridays

About the Role
Wheeler Staffing Partners is hiring four (4) AR Representatives II – Hospital Denials Specialists for a growing healthcare client in Plano, TX. This is a contract-to-hire opportunity with a hybrid work model in a brand-new office featuring onsite amenities, including a workout facility.

We are seeking individuals with proven experience working hospital denials—not from clinics, specialties, rehab, or provider-based settings. This role will focus on resolving insurance denials and underpayments to ensure hospitals receive accurate reimbursement.

Key Responsibilities

  • Analyze and resolve complex insurance denials and underpayments

  • Communicate with insurance companies and payers to follow up on claim statuses

  • Investigate denial reasons and submit effective appeals and documentation

  • Review contracts and billing data to ensure accurate reimbursement alignment

  • Utilize EHR and billing software to track and resolve claims

  • Prepare payer communications, appeals, and patient correspondences

  • Collaborate with team leads to identify denial trends and process improvements

  • Accurately document all actions and ensure full HIPAA compliance

Requirements

  • 3+ years of hospital-specific experience in AR, billing, reimbursement, or collections

  • Strong experience working with UB-04 claim forms

  • Deep understanding of payer rules, denial codes, and appeal processes

  • Experience with major EHR platforms (EPIC, Paragon, Zirmed, etc.)

  • Knowledge of medical billing codes including CPT, ICD, DRG, and EOB/RA

  • Excellent communication and problem-solving skills

  • Proficient in Microsoft Excel and Word

Preferred Qualifications

  • Experience with Medicare, Medicaid, and Commercial billing

  • Associate’s or Bachelor’s degree in a healthcare-related field

  • Prior experience mentoring or supporting junior AR staff

Work Environment

  • Brand-new Plano office with modern amenities

  • Hybrid Schedule: Onsite Monday–Thursday, remote on Fridays

  • Collaborative, fast-paced environment committed to operational excellence


Apply today to join a driven team dedicated to resolving complex hospital denials and supporting financial outcomes for healthcare providers.

Meet Your Recruiter

Rachel Wiseman
Recruiter

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About Plano, TX

Looking for exciting job opportunities in the Plano, Texas area? Discover your next career move in this vibrant city nestled in the heart of the Lone Star State. Plano offers a perfect blend of urban conveniences and natural beauty, with a booming economy and a welcoming community. With renowned companies calling Plano home, including Toyota and Liberty Mutual, endless growth opportunities await. Explore the thriving arts scene at the ArtCentre of Plano, catch a live performance at the Courtyard Theater, or indulge in the unique flavors of Tex-Mex cuisine at local eateries. With easy access to parks like Arbor Hills Nature Preserve and exciting attractions like Legacy West, Plano gives you a perfect work-life balance. Join us in Plano and unlock a world of possibilities for your career!