Collections Specialist
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The AR Follow-Up Specialist is responsible for timely and accurate follow-up of outstanding accounts receivable within the Revenue Cycle Management (RCM) department. This role primarily supports California Medicare and Commercial AR, with additional responsibility for Workers’ Compensation and Rehab services. The position ensures optimal reimbursement through proactive payer outreach, claim status monitoring, denial resolution, and coordination with billing, coding, and authorization teams. The AR Specialist plays a key role in reducing days sales outstanding (DSO), improving cash flow, and supporting denial prevention strategies across all payer types. *This is a remote role. 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 (clinical notes, C-4/C-9 forms, MMI/RTW documentation, etc.) Monitor claims for timely filing, medical necessity, eligibility discrepancies, coordination of benefits (COB), and modifier accuracy Coordinate with authorization teams to confirm authorization validity and ensure required documentation is submitted prior to billing Identify opportunities for appeal when claims are underpaid or incorrectly denied for Medicare, Commercial, and WC payers Identify and report recurring denial trends and collaborate with billing, coding, and authorization teams to prevent recurrence 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 ~ Basic understanding of NCCI edits and payer-specific billing guidelines ~ Advanced proficiency in Microsoft Excel (formulas, pivot tables) and solid skills in other Microsoft Office applications 25.00 to $30.00 Hourly All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations. Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO) ~License & Tuition Reimbursements ~ Holiday Pay & Floating Holiday ~ Supportive environment to help you grow and succeed Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us. Monday-Friday, 8am-5pm
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