RCM Specialist (PAR & AR Expert) - PH

This is a remote position.

Company Overview:

Insight Therapy Solutions is a growing behavioral health organization dedicated to helping people access the care they need. Since 2012, we've combined compassionate service, strong clinical support, and operational excellence to create a positive experience for both clients and team members.

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.

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​

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.

• 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.

• 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.

• Full-Time

• Monday – Friday

• 8:00 AM – 5:00 PM Pacific Time (U.S.)

• 100% Remote (Work from Home)