AR Specialist

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. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.

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.)Track and manage Workers’ Compensation payer-specific timelines, including 30-day status cycles and state-mandated payment rules

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

Escalate delayed or complex cases to appropriate internal team members or external partners

Identify opportunities for appeal when claims are underpaid or incorrectly denied for Medicare, Commercial, and WC payers

Prepare and submit appeal letters, reconsideration requests, and supporting documentation

Identify and report recurring denial trends and collaborate with billing, coding, and authorization teams to prevent recurrence

Assumes other responsibilities as appropriate to the position and organizational needs

High school diploma or GED required3+ 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

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, Next Gen, Athena, eClinicalWorks, or similar)
Basic understanding of NCCI edits and payer-specific billing guidelines

Strong verbal and written communication skills; excellent attention to detail

Advanced proficiency in Microsoft Excel (formulas, pivot tables) and solid skills in other Microsoft Office applications

Compensation Range:$25.00 to $30.00 Hourly All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

• 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…