AR Specialist

🔥 0 minutes ago

🌵 Arizona, California, +5 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Boomerang Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

⚖️ Legal

🏥 Healthcare

Consulting • Legal • Healthcare

Boomerang Healthcare is an early-stage or placeholder website for a company that appears to operate in the healthcare sector. The site currently shows a "coming soon" message and provides no public information about services, products, or target customers, so specific activities (e. g. , insurance, staffing, software) cannot be determined from the available content. The business is likely developing or preparing to launch its online presence.

📋 Description

• Perform timely follow-up on California Medicare, Commercial, and Workers’ Compensation claims to ensure prompt adjudication • Conduct direct outreach to commercial payers, Medicare contractors, WC adjusters, case managers, and employers to obtain claim status, authorization verification, 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, including 30-day status cycles and state-mandated payment rules • Monitor claims for timely filing, medical necessity, eligibility discrepancies, coordination of benefits, 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 to appropriate internal team members or external partners • Identify opportunities for appeal when claims are underpaid or incorrectly denied • Prepare and submit appeal letters, reconsideration requests, and supporting documentation • Identify and report recurring denial trends and collaborate with billing, coding, and authorization teams to prevent recurrence • Assume other responsibilities as appropriate to the position and organizational needs • Support Boomerang Healthcare’s revenue cycle management operations for multidisciplinary pain-care services

🎯 Requirements

• 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 • Strong verbal and written communication skills; excellent attention to detail • Advanced proficiency in Microsoft Excel (formulas, pivot tables) and solid skills in other Microsoft Office applications • Must be available Monday-Friday, 8am-5pm • Must work 40 hours per week

🏖️ Benefits

• Amazing work/life balance • Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO) • 401(K) Plan with Employer Matching • License & Tuition Reimbursements • Paid Time Off • Holiday Pay & Floating Holiday • Employee Perks and Discount Programs • Supportive environment to help you grow and succeed • Remote work arrangement