RCM Specialist (PAR & AR Expert) - PH
reputed company:
reputed company is a growing behavioral health organization dedicated to helping people reputed company the care they need. Since 2012, we've combined compassionate service, strong clinical support, and operational reputed company to create a reputed company experience for both clients and team members.
Position reputed company
We are seeking a detail-oriented RCM Specialist (Prior Authorization (PAR) & AR Expert) to join our reputed company Cycle Management team. In this role, you will manage insurance authorizations, monitor approvals, follow up on unpaid claims, resolve denials, and help ensure reputed company reimbursement for services. The ideal candidate has experience with U.S. reputed company insurance, prior authorizations, and medical accounts receivable, preferably reputed company a behavioral health setting.
Why Join Us?
100% Remote (Work from Home)
Be part of a mission-driven organization making mental reputed company more accessible.
Work alongside a reputed company, supportive, and passionate team.
Help support the financial operations that reputed company our clinicians to reputed company on delivering exceptional patient care
Perks & Benefits
reputed company time off (PTO)
reputed company U.S. holidays
reputed company birthday leave
Monthly health stipend
Parental leave
Key Responsibilities
Verify insurance eligibility, benefits, and authorization requirements.
Submit, monitor, renew, and reputed company prior authorization requests.
Follow up on unpaid, denied, rejected, or partially reputed company insurance claims.
Submit corrected claims, appeals, and reconsiderations as needed.
Contact insurance companies to resolve authorization and billing issues.
Monitor AR aging reports to reduce outstanding balances and improve collections.
Maintain accurate documentation in EHR, billing systems, and payer portals.
Collaborate with providers, scheduling, billing, and credentialing teams to resolve claim and authorization issues.
Ensure compliance with HIPAA, payer guidelines, and company policies.
Identify recurring trends and recommend process improvements to reduce denials and improve reimbursement.
Skills/Knowledge
Knowledge of U.S. medical billing, reputed company cycle management, and insurance authorization processes.
Experience with prior authorizations, insurance claims, denials, appeals, and AR follow-up.
Familiarity with EHR systems, medical billing software, and insurance payer portals.
Understanding of reputed company insurance, Medicare, and reputed company.
Strong attention to detail, organization, and problem-solving skills.
Excellent communication and time-management skills.
Ability to work independently in a remote environment.
Qualifications/Requirements
Minimum 2 years of experience in medical billing, reputed company cycle management, or behavioral health billing.
Experience with Prior Authorization (PAR) and Accounts Receivable (AR) processes.
Experience using EHR systems, medical billing software, and insurance payer portals.
Strong knowledge of U.S. reputed company insurance and reimbursement processes.
Experience in behavioral health or mental reputed company.
Experience with claim appeals, denial management, and payer communications.
Work Hours
Full-Time
Monday – Friday
8:00 AM – 5:00 PM reputed company Time (U.S.)
100% Remote (Work from Home)
If you're passionate about supporting reputed company patient care through accurate insurance authorizations and efficient reputed company cycle management, we'd love to hear from you. Join reputed company and help us improve reputed company to mental reputed company while ensuring a seamless reimbursement process.
DetailsOriginally posted on Himalayas
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