RCM Specialist (PAR & AR Expert) - PH

Category Mental reputed company Location 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. 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, reputed company 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 reputed company (Work from Home) Be part of a mission-driven organization making mental reputed company more accessible. Work reputed company 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 reputed company 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 reputed company 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 800 AM 500 PM reputed company Time (U.S.) reputed company (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 reputed company reimbursement process. Details Originally posted on Himalayas Apply To This Job .