Accounts Receivable Specialist - (Physical Therapy/Medical Billing/EHR)

Raintree Systems, Inc.; Boston (MA); À distance; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

Paid Time Off & Holidays

Health, Dental, Vision, HSA/FSA

Disability & Life Insurance

Employee Assistance Program

Remote Work/Work From Home

Résumé du poste

Raintree Systems, Inc. is hiring an Accounts Receivable Specialist - Medical Claims. This fully remote role supports multispecialty medical billing across payer networks and patients.

You will prepare, submit, and follow up on claims, analyze denials, and work with staff to resolve accounts—delivering accurate reimbursements while upholding compliance. The ideal candidate has experience in medical insurance claims billing, strong MS Office and Google Apps skills, and a collaborative,

Qualifications

• Experience in Medical Insurance Claims billing preferred.
• Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
• Ability to perform basic arithmetic and quantify results.
• Strong problem-solving and data tracking abilities.
• Able to work well in a team and follow HR policies and SOPs.

Responsabilités

• Ensures accurate, compliant, timely billing and appropriate reimbursement for multispecialty services.
• Prepare and re-submit clean claims according to payer guidelines and contracts.
• Analyze and correct first pass rejected claims for second pass submission.
• Research and perform claim status follow up for assigned plans.
• Review and process claim appeals with supporting documentation.
• Research and recommend account adjustments or write-offs as needed.
• Identify and report billing issues to management for timely resolution.
• Generate and submit monthly patient balance statements per EOBs.
• Review patient accounts for delinquencies and collect overdue payments.
• Answer patient questions about billing and payments.

Connaissances

Medical Claims Billing

Microsoft Office

Google Apps

Data Analysis

Team Collaboration

Policy Adherence

Formation

High School Diploma or GED

Description du poste

Founded in 1983 and headquartered in Chandler, AZ, Raintree is a leading AI-powered EMR and practice management platform built specifically for physical, occupational, speech therapy, and ABA organizations. Powering millions of patient visits across thousands of locations, our award-winning, all-in-one software connects clinical, billing, and operational workflows- reducing administrative complexity and empowering therapy providers to scale with confidence and deliver superior patient care.

Accounts Receivable Specialist - Medical Claims

Remote U. This position is fully remote and may be performed from one of the following U.

At Raintree, we’re not just shaping the future of therapy technology – we’re creating it. game-changing, career-defining moments

We aim to be the best place for the best people , and we’re looking for ambitious, creative thinkers ready to make an impact. Whether you’re advancing AI solutions or enhancing user experiences, your work here will shape the future of therapy technology while advancing your career alongside dedicated professionals who are as committed to your success as you are.

Responsibilities

• ensures accurate, compliant, timely billing and appropriate reimbursement for multispecialty medical professional services from various insurance payers and patients.
• Prepare and re-submit clean claims to various insurance companies either electronically or by paper in accordance with specific payer guidelines and/or contract requirements.
• Analyze and correct first pass rejected claims for completeness and accuracy of information for second pass clean claim submission.
• Research and perform all primary and secondary billing claim status follow up activities for assigned insurance plans.
• Review, evaluate and process all claim appeals through resubmission to insurance carriers with complete and accurate supporting documentation required.
• Research and recommend any customer account adjustments and/or write-offs to the Manager based upon collectability of account with insurance carrier or patient.
• Recognize and report claims problems, errors, and discrepancies to management in order to proactively identify and effectively resolve billing trends in a timely manner.
• Generate and submit monthly patient balance due statements to customers as dictated by the explanation of benefits received from their insurance carrier.
• Reviewing patient accounts, identifying delinquent accounts, and collecting overdue payments.
• Answering patient questions about billing and payments.
• Investigating and/or directing patient inquiries or complaints to the appropriate staff member.

Qualifications

• High School Diploma, GED, or equivalent work experience.
• Experience in Medical Insurance Claims billing preferred.
• Proficient in Microsoft office (Outlook, Excel, Word) and Google applications.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to define problems, collect data, establish facts, and identify trends.
• Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as the ability to work independently.
• HR policies, standard operating procedures, and other corporate initiatives.

Benefits

• Paid Time Off/11 Paid Holidays/Year-End Holiday Break
• Health, Dental, Vision, HSA/FSA
• Disability & Life Insurance
• Employee Assistance Program
• Remote Work/Work From Home

Raintree Systems provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.