Remote AR Follow-Up Specialist (Medicare & WC)

Integrated Pain Management Medical Group, Inc.; Crystal Bay (NV); A distancia; USD 34.000 - 41.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision, and Rx (PPO &

HMO)

401(k) plan with employer matching

License & Tuition reimbursements

Paid time off

Holiday pay & floating holiday

Employee perks and discount programs

Descripción de la vacante

Boomerang Healthcare is seeking an AR Follow-Up Specialist to manage timely follow-up of accounts receivable within the RCM department. This remote role targets CA Medicare, Commercial, WC, and Rehab billing, with outreach to payers and solid collaboration with billing, coding, and authorization teams.

You will help reduce DSO, improve cash flow, and support denial prevention across payer types while handling varied documentation and appeals as needed.

Formación

• Must have 3+ years of AR follow-up experience focused on California Medicare and Commercial billing.
• Working knowledge of Workers’ Compensation billing rules and documentation.
• Experience managing mixed payer AR inventories with tight timelines.
• Ability to work in a fast-paced environment and meet daily deadlines.

Responsabilidades

• Perform timely follow-up on California Medicare, Commercial, and WC claims to ensure prompt adjudication.
• Direct outreach to payers and contractors to obtain claim status and documentation requirements.
• Resolve claim rejections and underpayments and address missing documentation across payer types.
• Track WC payer timelines and state-mandated payment rules; monitor timely filing and eligibility discrepancies.
• Coordinate with authorization teams to verify documentation before billing; escalate complex cases as needed.
• Identify appeal opportunities; prepare and submit appeal letters and supporting docs.
• Report recurring denial trends and collaborate to prevent recurrence.

Conocimientos

California Medicare billing

Commercial billing

Excel (pivot tables)

Verbal and written communication

Attention to detail

Cross-functional collaboration

NCCI edits knowledge

Multiple EHR/PM systems

Educación

High school diploma or GED

Herramientas

IMS

NextGen

Athena

eClinicalWorks

Descripción del empleo

Boomerang Healthcare is seeking an AR Follow-Up Specialist to manage timely follow-up of accounts receivable within the RCM department. This remote role targets CA Medicare, Commercial, WC, and Rehab billing, with outreach to payers and solid collaboration with billing, coding, and authorization teams.

You will help reduce DSO, improve cash flow, and support denial prevention across payer types while handling varied documentation and appeals as needed.