[Hiring] RCM Specialist (PAR & AR Expert) @Insight Therapy Solutions

Role Description

We are seeking a detail-oriented RCM Specialist (Prior Authorization (PAR) & AR Expert) to join our Revenue Cycle Management team. In this role, you will manage insurance authorizations, monitor approvals, follow up on unpaid claims, resolve denials, and help ensure timely reimbursement for services. The ideal candidate has experience with U.S. healthcare insurance, prior authorizations, and medical accounts receivable, preferably within a behavioral health setting.

Key Responsibilities

• Verify insurance eligibility, benefits, and authorization requirements.
• Submit, monitor, renew, and track prior authorization requests.
• Follow up on unpaid, denied, rejected, or partially paid 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.

Qualifications

• Minimum 2 years of experience in medical billing, revenue 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. healthcare insurance and reimbursement processes.
• Experience in behavioral health or mental healthcare.
• Experience with claim appeals, denial management, and payer communications.

Work Hours

• Full-Time
• Monday – Friday
• 8:00 AM – 5:00 PM Pacific Time (U.S.)
• 100% Remote (Work from Home)

Benefits

• Paid time off (PTO)
• Paid U.S. holidays
• Paid birthday leave
• Monthly health stipend
• Parental leave