Remote AR Follow-Up Specialist – Medicare & Commercial

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

Benefits offered by this job

Medical, Dental, Vision, Prescription

401(K) with Employer Matching

Paid Time Off

Holiday Pay

Employee Perks and Discount Programs

Job summary

Boomerang Healthcare is seeking an AR Follow-Up Specialist to ensure timely and accurate follow-up of outstanding accounts receivable within the Revenue Cycle Management team. The role prioritizes California Medicare and Commercial AR, with Workers’ Compensation responsibilities, aiming to reduce DSO and improve cash flow.

The position involves payer outreach, denial resolution, and collaboration with billing, coding, and authorization teams.

Qualifications

• 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 and state rules
• Experience managing mixed payer AR inventories with competing timelines and requirements
• Advanced proficiency in Microsoft Excel and solid skills in other Office applications

Responsibilities

• Perform timely follow-up on California Medicare, Commercial, and Workers’ Compensation claims to ensure prompt adjudication
• Direct outreach to commercial payers, Medicare contractors, WC adjusters, case managers, and employers to obtain claim status and documentation requirements
• Resolve claim rejections, underpayments, incorrect fee schedule applications, and missing documentation across payer types
• Track and manage Workers’ Compensation payer-specific timelines and state-mandated payment rules
• Monitor claims for timely filing, medical necessity, eligibility discrepancies, COB, and modifier accuracy
• Coordinate with authorization teams to confirm authorization validity and ensure required documentation is submitted prior to billing
• Escalate delayed or complex cases and identify opportunities for appeal when underpaid or denied
• Prepare and submit appeal letters and supporting documentation
• Identify and report recurring denial trends and collaborate to prevent recurrence
• Assume other responsibilities as appropriate

Skills

AR follow-up experience

California Medicare billing

Excel proficiency

Education

High school diploma or GED

Tools

IMS

NextGen

Athena

eClinicalWorks

Job description

Boomerang Healthcare is seeking an AR Follow-Up Specialist to ensure timely and accurate follow-up of outstanding accounts receivable within the Revenue Cycle Management team. The role prioritizes California Medicare and Commercial AR, with Workers’ Compensation responsibilities, aiming to reduce DSO and improve cash flow.

The position involves payer outreach, denial resolution, and collaboration with billing, coding, and authorization teams.