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.

What you will do: 

• 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

Qualifications: 

Compensation Range:  

$25.00 to $30.00 Hourly  

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.