Boomerang Healthcare is an early-stage company associated with the healthcare sector, with related listings also placing it in consulting and legal services. Its public website is currently marked as coming soon, so details about its products, services, customers, and current hiring activity remain limited. Candidates researching Boomerang Healthcare should look for role-specific information as the company develops its public presence.
Remote AR Specialist – Medicare and Workers’ Compensation Claims
Boomerang Healthcare seeks a remote AR Specialist to manage California Medicare, Commercial, and Workers’ Compensation claims within its multidisciplinary pain-care services. The role focuses on payer follow-up, denial resolution, appeals, and reimbursement improvement.
Description
- Follow up promptly on California Medicare, Commercial, and Workers’ Compensation claims to support timely adjudication
- Contact commercial payers, Medicare contractors, WC adjusters, case managers, and employers to verify claim status, authorizations, and documentation needs
- Resolve payer rejections, underpayments, fee schedule errors, and missing documentation
- Manage Workers’ Compensation timelines, including 30-day status cycles and state-mandated payment requirements
- Review claims for timely filing, medical necessity, eligibility issues, coordination of benefits, and modifier accuracy
- Work with authorization teams to validate approvals and submit required documentation before billing
- Escalate delayed or complex claims to the appropriate internal teams or external partners
- Evaluate underpaid or incorrectly denied claims for appeal opportunities
- Draft and submit appeal letters, reconsideration requests, and supporting records
- Analyze recurring denial patterns and partner with billing, coding, and authorization teams on prevention
- Take on additional duties aligned with the role and organizational needs
- Support revenue cycle management for Boomerang Healthcare’s multidisciplinary pain-care services
Requirements
- High school diploma or GED
- At least three years of AR follow-up experience, particularly with California Medicare and Commercial billing
- Working knowledge of Workers’ Compensation billing, including adjuster communication, state requirements, medical necessity, and documentation
- Experience managing mixed-payer AR inventories with competing deadlines and requirements
- Ability to work quickly, meet daily deadlines, and collaborate with cross-functional RCM teams
- Experience using multiple EHR or practice management systems, such as IMS, NextGen, Athena, eClinicalWorks, or similar platforms
- Basic knowledge of NCCI edits and payer-specific billing guidelines
- Strong written and verbal communication with excellent attention to detail
- Advanced Microsoft Excel skills, including formulas and pivot tables, plus proficiency with other Microsoft Office applications
- Availability Monday through Friday, 8 a.m. to 5 p.m.
- Ability to work 40 hours per week
Benefits
- Work-life balance
- Medical, dental, vision, and prescription coverage with PPO and HMO options
- 401(k) plan with employer matching
- License and tuition reimbursement
- Paid time off
- Holiday pay and floating holiday
- Employee perks and discount programs
- Supportive environment for professional growth and success
- Remote work arrangement