Payment Reconciliation Specialist (Physical Therapy/Medical Billing/EHR)

Raintree Systems, Inc.; Tennessee; Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Remote First

Paid Time Off

Health Insurance

Dental Insurance

Vision Insurance

401K with Company Match

Disability & Life Insurance

Employee Assistance Program

Paid Parental Leave

Job summary

Raintree Systems, Inc. is seeking a Payment Reconciliation Specialist to work remotely within designated U.S. states. The role focuses on deposits, posting accuracy, and timely reconciliations across daily, weekly, and monthly cycles, with emphasis on HIPAA compliance and customer communication.

You will leverage experience in medical insurance posting, A/R follow up, and familiarity with Raintree Systems to support efficient cash posting and billing workflows in a fast-paced environment.

Qualifications

• Minimum 3 years of medical insurance posting experience.
• Knowledge of payer contract & government reimbursement rules.
• Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
• Skilled in using computer applications for payment posting with an understanding of A/R follow up.
• Knowledge of insurance and reimbursement policies.
• Experience with medical billing software (Raintree Systems experience a plus).
• Experience in performing tasks that require a basic understanding of accounting and math skills.
• Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.

Responsibilities

• Update and maintain logs and spreadsheets used for reconciliation and posting.
• Investigate, research, and resolve deposits; contact clients and payers for information.
• Identify information to clear posting errors and follow ups.
• Participate in month end closing.
• Retrieve and post remittances from payor websites when needed.
• Research unidentified payments and recoupment to determine resolution.
• Identify patterns indicating issues and notify leads or supervisors.
• Assist clients by answering inquiries and providing information.
• Reconcile daily cash deposits to the billing system and bank.
• Handle special projects and assignments as assigned.

Skills

Medical insurance posting

Excel

Outlook

Word

Google applications

A/R follow up

HIPAA compliance

AI fluency

Tools

Raintree Systems

Microsoft Excel

Google Apps

Job description

About Raintree Systems

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.

Payment Reconciliation Specialist

Remote 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.

The Payment Reconciliation Specialist i s responsible for ensuring receipt of deposits, balance and reconciliation of daily, weekly, and monthly bank deposits, payment posting, and payment follow ups with a heavy focus on timeliness, quality, and accuracy.

Duties and Responsibilities:

• Update and maintain all logs and spreadsheets used for reconciliation. Review, investigate and reconcile deposits and supporting documentation to enable accurate posting.

• Investigate, research, and resolve outstanding deposits, reaching out to clients and payers for additional information as needed.

• Identify and research needed information to clear out posting errors and follow ups.

• Participate in month end closing.

• Retrieve and post remittances from payor websites when the remittance is needed.

• Research unidentified payments and or recoupment to determine the appropriate resolution.

• Identify patterns and trends that indicate a potential issue and notify leads or supervisors.

• Assist clients by answering inquiries and providing information.

• Reconcile daily cash deposits to the billing system and bank.

• Special projects and assignments as assigned.

Position Proficiencies and Requirements

• Minimum 3 years of medical insurance posting experience

• Knowledge of payer contract & government reimbursement rules.

• Proficient in Microsoft office (Outlook, Excel, Word) and Google applications.

• Skilled in using computer applications for payment posting with an understanding of A/R follow up.

• Knowledge of insurance and reimbursement policies.

• Experience with medical billing software (Raintree Systems experience a plus).

• Experience in performing tasks that require a basic understanding of accounting and math skills.

• Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.

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.

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 Flexible

We love to Solve Problems - We are Committed to Greatness - We are a High Performance Team

U.S. Based Perks

Remote First

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

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.