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

Raintree Systems, Inc.; Charlotte (NC); Remoto; USD 55.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote Work/Work From Home

Paid Time Off/11 Paid Holidays/Year‑On

Health, Dental, Vision, HSA/FSA

401K with Company Match

Disability & Life Insurance

Employee Assistance Program

Paid Parental Leave

Descrizione del lavoro

Raintree Systems, Inc. is seeking an Accounts Receivable Specialist for Medical Claims for a fully remote role across designated U.S. states.

This position handles billing for multispecialty medical services, claims submission, follow-up, appeals, and patient statements, with emphasis on accuracy, compliance, and timely reimbursement. Ideal candidates have a High School Diploma or equivalent, 7+ years in medical insurance claims billing, proficiency in Microsoft Office and Google apps, and

Competenze

• High School Diploma, GED, or equivalent work experience.
• Experience in Medical Insurance Claims billing preferred.
• Minimum 7 years plus of experience required
• Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
• Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.
• 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.
• Ability to exercise good judgment and elevate issues appropriately.

Mansioni

• 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.

Conoscenze

Microsoft Office

Outlook

Excel

Word

Google Apps

AI fluency

Numerical skills

Formazione

High School Diploma/GED or equivalent

Descrizione del lavoro

About Raintree SystemsFounded 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 ClaimsRemote U.S. (designated states)

This position is fully remote and may be performed ideally from one of the following U.S. states: AL, AZ, FL, GA, IN, IL, MA, MD, MI, MS, NC, OK, OH, PA, SC, TN, TX, VA, WI.

At Raintree, we're not just shaping the future of therapy technology - we're creating it. This is your chance to be part of something bigger, where your career will have game-changing, career-defining moments that propel you to new heights. 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. At Raintree, your ideas drive real change, your growth is limitless, and the work you do will touch millions of lives. Ready to ignite your career and leave a lasting legacy? Join us and be part of something extraordinary.

The Accounts Receivable Specialist ensures accurate, compliant, timely billing and appropriate reimbursement for multispecialty medical professional services from various insurance payers and patients.

Duties and Responsibilities:

• 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.

Position Proficiencies and Requirements

• High School Diploma, GED, or equivalent work experience.
• Experience in Medical Insurance Claims billing preferred.
• Minimum 7 years plus of experience required
• Proficient in Microsoft office (Outlook, Excel, Word) and Google applications.
• Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.
• 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.
• Ability to exercise good judgment and elevate issues appropriately.

Competencies to Drive Success

• Strong written and verbal communication skills; a self-starter who is dependable and reliable.
• Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as the ability to work independently.
• Strong organizational skills and detail oriented with the ability to prioritize, complete tasks, and meet deadlines.
• Must be able to promote a positive influence within the team, department, and company.
• Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.

Our Perks

• Remote Work/Work From Home
• Paid Time Off/11 Paid Holidays/Year-End Holiday Break
• Health, Dental, Vision, HSA/FSA
• 401K with Company Match
• Disability & Life Insurance
• Employee Assistance Program
• Paid Parental Leave

At Raintree, we're not just shaping the future of therapy technology - we're creating it. This is your chance to be part of something bigger, where your career will have game-changing, career-defining moments that propel you to new heights. 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. At Raintree, your ideas drive real change, your growth is limitless, and the work you do will touch millions of lives. Ready to ignite your career and leave a lasting legacy? Join us and be part of something extraordinary.

Our Core Values

• We put our Clients First
• We are Open and Honest
• We are Disciplined, Yet FlexibleWe love to Solve Problems
• We are Committed to Greatness
• We are a High Performance Team

U.S. Based PerksRemote FirstPaid Time Off/11 Paid Holidays/Year-End Holiday BreakHealth, Dental, Vision, HSA/FSA,401K with Company MatchDisability & Life InsuranceEmployee Assistance ProgramPaid Parental Leave

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.