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Boomerang Healthcare
Boomerang Healthcare
201 – 500 Angajați
Asistență medicalăConsultanțăJuridic
Boomerang Healthcare este o companie aflată într-un stadiu incipient, asociată cu sectorul sănătății, iar listări conexe o plasează și în domeniile consultanței și serviciilor juridice. Site-ul său public este în prezent marcat ca fiind în curs de lansare, astfel că informațiile despre produsele, serviciile, clienții și activitatea actuală de recrutare a companiei rămân limitate. Candidații care cercetează Boomerang Healthcare ar trebui să caute informații specifice fiecărui rol pe măsură ce compania își dezvoltă prezența publică.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiAZArizonaCACaliforniaNVNevadaNMNew MexicoOROregonTXTexasWAWashington
25 $ – 30 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăCreanțe comerciale

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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

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