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Job Description
AR & Denial Prevention Manager Integrated Pain Management Medical Group, Inc. - 3.0 Walnut Creek, CA Job Details Full-time $105,000 - $130,000 a year 1 day ago Benefits Paid holidays Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Employee discount Qualifications Performance dashboard reports Medicare Spreadsheets Dashboard creation Reporting and dashboarding tools Medical denial root cause analysis (RCA) Medical insurance appeals management Full 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 40
