Key Facts

Remote From:

Full time

Senior (5-10 years)

English

Hard Skills

Appeals Workers' Compensation Claims Medicare Advantage Root Cause Analysis E-MDs (EMR/EHR System) Digital Dashboards Organizational Structure Compliance Management

Other Skills

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Team Leadership
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Microsoft Excel
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Analytical Thinking
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Problem Solving
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Communication
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Detail Oriented
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Personal Integrity

Roles & Responsibilities

5+ years of progressive experience in healthcare revenue cycle management
Strong Workers’ Compensation billing expertise
Hands-on experience managing Commercial and Medicare AR and appeals
Advanced proficiency in Microsoft Excel and other Microsoft Office applications

Requirements:

Direct and manage AR follow-up activities across all payer types
Establish AR prioritization strategies by payer and aging bucket
Lead denial prevention strategies across all payers
Manage appeals and reconsiderations for Medicare and Commercial payers

Boomerang Healthcare

About Boomerang Healthcare

We are dedicated to restoring your hope and helping you return to better health with our unique individual treatment plans. Our expanding network of Providers & Specialists are dedicated to helping you achieve your goals. Our services range from cutting edge interventional pain management and psychological support to physical therapy and functional restoration. Our providers are also subspecialty-trained in the diagnosis and treatment of spinal diseases and interventional procedures including implantable technology. Aside from providing a community-based practice, IPM Medical Group, Inc. has taken further steps to become one of the premier referral centers for the injured worker. With additional services such as disability management and medical-legal evaluations, IPM Medical Group, Inc. is proud to have become the standard of quality care for both injured workers and community patients. Thank you for considering our practice for your pain management needs.

Founded: 2018

Company size: 201 - 500

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Job description

The AR & Denial Prevention Manager is responsible for leading end-to-end accounts receivable follow-up, denial prevention & management, and appeals across all service lines within Boomerang Healthcare (BHC). This role oversees AR follow-up for Commercial and Medicare, Litigation Support and Lien Resolution functions, as well as payment posting and appeals teams and plays a critical role in stabilizing and optimizing cash flow.

*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:

Direct and manage AR follow-up activities across all payer types, including:

Workers’ Compensation (fee schedules, direct bill, employer/carrier models)
Commercial insurance
Medicare

Establish AR prioritization strategies by payer, aging bucket, service line, and dollar value.
Monitor and drive performance for current AR, 31-60, 61-90, 91-180, and 181+ day buckets.
Manage the resolution of holds, missing information, and errors related to claim submission.
Partner with finance to support monthly AR reconciliation, variance analysis, and cash forecasting.
Provide direct oversight of WC AR and staff
Manage litigation-related AR.
Oversee lien preparation, submission, tracking, and resolution.
Lead denial prevention strategies across all payers.
Oversee denial management workflows.
Manage appeals and reconsiderations for:

Medicare

Commercial payers
Workers’ Compensation disputes

Assumes other responsibilities as appropriate to the position and organizational needs

Qualifications:

5+ years of progressive experience in healthcare revenue cycle management, with direct AR and denial management leadership experience.
Strong Workers’ Compensation billing expertise, including litigation and lien resolution.
Hands-on experience managing Commercial and Medicare AR and appeals.
Demonstrated success in denial prevention and root cause analysis.
Experience leading teams in high-volume, multi-payer environment.
Strong analytical, organizational, and communication skills.
Experience building and managing AR and denial dashboards, reporting tools, and billing platforms.
Experience with multiple EHR/ Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar)
Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus
Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications

Compensation Range: 

$105,000 to $130,000 Annually

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

Why You'll Love Working Here:

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 goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC. 

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.

Monday-Friday, 8am-5pm
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