Remote AR Follow-Up Specialist (CA/Medicare)

Integrated Pain Management Medical Group, Inc.; Clifton (TX); Remote; USD 34,000 - 41,000; Full time

Benefits offered by this job

Medical, Dental, Vision, and Prescrip.

401K with Employer Matching

License & Tuition Reimbursement

Paid Time Off

Holiday Pay & Floating Holiday

Employee Perks and Discount Programs

Job summary

Boomerang Healthcare is hiring an AR Follow-Up Specialist for remote work across AZ, CA, NM, NV, OR, TX and WA. You will follow up on California Medicare, Commercial, and WC claims to ensure timely adjudication and optimal reimbursement.

You will directly contact payers and employers, resolve denials, monitor timelines, and coordinate with authorization teams to secure required documentation. Strong Excel and EHR experience are required.

Qualifications

• High school diploma or GED required.
• 3+ years of AR follow-up experience with strong emphasis on California Medicare and Commercial billing.
• Working knowledge of Workers’ Compensation billing, including adjuster communication, state rules, medical necessity, and required documentation.
• Experience managing mixed payer AR inventories with competing timelines and requirements.
• Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams.
• Experience with multiple EHR / Practice Management systems (IMS, NextGen, Athena, eClinicalWorks, or similar).
• Basic understanding of NCCI edits and payer-specific billing guidelines.

Responsibilities

• Perform timely follow-up on CA Medicare, Commercial, and WC claims to ensure prompt adjudication.
• Direct outreach to commercial payers, Medicare contractors, WC adjusters, case managers, and employers for claim status and documentation requirements.
• Resolve claim rejections, underpayments, incorrect fee schedules, and missing documentation across payer types.
• Track and manage WC payer-specific timelines and state rules.
• Monitor claims for timely filing, medical necessity, eligibility discrepancies, COB, and modifier accuracy.
• Coordinate with authorization teams to confirm validity and obtain required documentation.
• Escalate delayed or complex cases to internal teams or external partners.
• Identify opportunities for appeal when claims are underpaid or denied and prepare supporting documentation.
• Identify recurring denial trends and collaborate to prevent recurrence.

Skills

California Medicare billing

AR follow-up

Communication skills

Cross-functional collaboration

Attention to detail

Education

High school diploma or GED

Tools

Excel

EHR/Practice Management systems (IMS, NextGen, Athena, eClinicalWorks)

Job description

Boomerang Healthcare is hiring an AR Follow-Up Specialist for remote work across AZ, CA, NM, NV, OR, TX and WA. You will follow up on California Medicare, Commercial, and WC claims to ensure timely adjudication and optimal reimbursement.

You will directly contact payers and employers, resolve denials, monitor timelines, and coordinate with authorization teams to secure required documentation. Strong Excel and EHR experience are required.