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

Raintree Systems, Inc.; Arkansas City (KS); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Remote First

Paid Time Off/11 Paid Holidays/Year

Health, Dental, Vision, HSA/FSA

401K with Company Match

Disability & Life Insurance

Employee Assistance Program

Paid Parental Leave

Job summary

Raintree Systems is seeking a Payment Reconciliation Specialist to ensure accurate deposits, posting, and follow-ups with payers in a fully remote role across designated US states. The position emphasizes timeliness, quality, and accuracy within a healthcare billing context.

Applicants should have 3+ years of medical insurance posting experience, knowledge of payer contracts and reimbursement rules, and proficiency in Microsoft Office and billing software.

Qualifications

• Minimum 3 years of medical insurance posting experience.
• Knowledge of payer contracts and government reimbursement rules.
• Proficient with Microsoft Office (Outlook, Excel, Word) and Google apps.
• Experience with payment posting software and A/R follow up.
• Knowledge of insurance and reimbursement policies.
• Experience with medical billing software; Raintree Systems is a plus.
• Strong math and accounting basics.
• Proactive with AI fluency to improve workflows.

Responsibilities

• Update and maintain logs/spreadsheets for reconciliation.
• Investigate and resolve outstanding deposits with payers.
• Identify information to clear posting errors.
• Participate in month-end closing.
• Retrieve remittances from payor websites as needed.
• Research unidentified payments for resolution.
• Identify patterns indicating issues and notify leads.
• Assist clients by answering inquiries.
• Reconcile daily cash deposits with billing and bank.
• Handle special projects as assigned.

Skills

Medical insurance posting

Payer contracts

Microsoft Office

A/R follow-up

Insurance policies

Accounting basics

AI fluency

Communication

Tools

Raintree Systems

Billing software

Google applications

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.