RCM Specialist (PAR & AR Expert) PH

Required Skills:

Company Overview: Insight Therapy Solutions is a growing behavioral health organization dedicated to helping people access the care they need. Since 2012 weve combined compassionate service strong clinical support and operational excellence to create a positive experience for both clients and team members. Position Overview We are seeking a detail-oriented RCM Specialist (Prior Authorization (PAR) & AR Expert) to join our Revenue Cycle Management 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. Why Join Us 100% Remote (Work from Home) Be part of a mission-driven organization making mental healthcare more accessible. Work alongside a collaborative supportive and passionate team. Help support the financial operations that enable our clinicians to focus on delivering exceptional patient care Perks & Benefits Paid time off (PTO) Paid U.S. holidays Paid birthday leave Monthly health stipend Parental leave Job Description As RCM Specialist (Prior Authorization (PAR) & AR Expert) you will help ensure patients receive timely care by managing insurance authorizations while supporting the revenue cycle through proactive claim follow-up and denial resolution. 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. Skills/Knowledge Knowledge of U.S. medical billing revenue 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 commercial insurance Medicare and Medicaid. 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 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) If youre passionate about supporting quality patient care through accurate insurance authorizations and efficient revenue cycle management wed love to hear from you. Join Insight Therapy Solutions and help us improve access to mental healthcare while ensuring a seamless reimbursement process.