Insurance A/R Follow-Up Specialist, Plastic Surgery

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🔥 4 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.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.

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RCM Staff LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2024

🏥 Healthcare

🎯 Recruiter

🤝 B2B

Healthcare • Recruitment • B2B

RCM Staff LLC is a staffing company that provides HIPAA-trained, healthcare-focused medical billers, certified coders, A/R follow-up specialists, and medical virtual assistants based in the Philippines who work directly inside U. S. clients’ existing EHRs, clearinghouses, and payer portals. The company handles recruiting, onboarding, training, and oversight while clients retain operational control; service tiers range from Core (staff augmentation) to Plus (account management and KPIs) and Executive (managed QA and continuity planning). RCM Staff targets medical billing companies, physician practices (solo, group, behavioral health, primary care), and RCM vendors, and emphasizes compliance (BAA available), AAPC-certified leadership, and 18+ years of U. S. revenue cycle experience.

📋 Description

• Call insurance companies to check claim status and resolve unpaid or underpaid claims • Work aging A/R reports and prioritize follow-up by balance and timely filing risk • Follow up on pending prior authorizations until a decision is received • Verify patient eligibility and benefits before scheduled procedures • Check claim status through payer portals and the practice's claim status tools • Identify denials and route them for correction, appeal, or resubmission • Document every call and portal action clearly, including reference numbers and next steps • Escalate stalled claims and authorizations to the practice billing team • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 1 year of experience with U.S. healthcare insurance follow-up • Experience calling payers on claim status and prior authorizations • Familiarity with commercial insurance and government health plans • Experience using payer portals and insurance websites • Strong written and spoken English, with confidence on long payer calls • Excellent attention to detail and follow-up skills • Ability to work independently and manage multiple patient accounts • Reliable internet connection and a suitable remote workspace • Preferred: Experience supporting plastic surgery, reconstructive surgery, or other surgical practices • Preferred: Experience with surgical prior authorizations and medical necessity documentation • Preferred: Familiarity with California insurance plans such as Blue Shield of California • Preferred: Experience using Stedi or similar claim status tools • Must be available 8:00 AM to 4:30 PM Pacific Time • Philippines-based applicants preferred

🏖️ Benefits

• Remote work arrangement • Full-time schedule of 40 hours per week

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