AR Specialist III (Temporary) at Integrated Pain Management Medical Group, Inc.

Walnut Creek, California, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

29.0

Posted On

21 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounts Receivable Follow-up, Revenue Cycle Management, Claim Adjudication, Payer Outreach, Issue Resolution, Denial Prevention, Workers' Compensation Billing, Contract Review, Claim Auditing, EHR Systems, Microsoft Excel, Pivot Tables, Data Analysis, Mentorship, Compliance, Medical Necessity

Industry

Hospitals and Health Care

Description

The AR Specialist is responsible for timely and accurate follow-up of outstanding accounts receivable within the Revenue Cycle Management (RCM) department to ensure claims are adjudicated correctly and reimbursed appropriately. This role supports optimal reimbursement through proactive payer outreach, claim status monitoring, issue 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 efforts across the revenue cycle. *This is a remote temporary position for a minimum of 3 months. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA. What you will do: * Manage high-dollar, high-risk, and complex outstanding claims to ensure accurate adjudication and protect revenue * Strategically manage payer timelines to reduce aging and prevent revenue leakage * Resolve escalated claim rejections and systemic fee schedule discrepancies through payer outreach and contract review * Partner with authorization leadership to address recurring compliance and documentation gaps * Determine appropriate escalation timing and pathways for delayed or high-risk claims * Proactively audit claims for timely filing exposure, medical necessity trends, eligibility patterns, COB discrepancies, and modifier compliance * Identify systemic underpayment or denial patterns and collaborate with Denials and Appeals teams to prevent recurrence * Provide mentorship to junior staff and contribute to workflow improvement initiatives * Assumes other responsibilities as appropriate to the position and organizational needs Qualifications: * High school diploma or GED required * 5+ years of AR follow-up experience in medical billing * Strong experience with Workers’ Compensation billing, including adjuster communication, state rules, medical necessity, and required documentation * Experience with high-volume workers’ compensation caseloads * 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 communication, especially when speaking with WC adjusters, excellent attention to detail * Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Compensation Range:  $22.00 to $29.00 Hourly All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations. Why You'll Love Working Here: * 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 Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC.  Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. 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 40

Responsibilities

The AR Specialist manages complex outstanding accounts receivable within the RCM department, focusing on timely follow-up to ensure correct claim adjudication and appropriate reimbursement. This role involves strategic payer outreach, monitoring claim status, resolving rejections, and auditing claims to reduce Days Sales Outstanding (DSO) and prevent revenue leakage.