Remote Medical AR Specialist – Claims & Billing

Raintree Systems, Inc.; Butlerville (IN); Remote; USD 42,000 - 66,000; Full time

Benefits offered by this job

Remote Work/Work From Home

Paid Time Off/11 Paid Holidays/Year–In

Health, Dental, Vision, HSA/FSA

Disability & Life Insurance

Employee Assistance Program

Job summary

Raintree Systems, Inc. is seeking an Accounts Receivable Specialist - Medical Claims for a fully remote role.

You will manage billing, insurance claims processing, and reimbursement workflows across multispecialty settings, ensuring accuracy and timeliness. The ideal candidate has experience with medical insurance claims billing, proficiency in Microsoft Office and Google applications, and strong numerical and communication skills.

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.
• Must work well within a team and have strong interpersonal skills.

Responsibilities

• Ensures accurate, compliant, timely billing and appropriate reimbursement for multispecialty medical professional services from various insurance payers and patients.
• Includes correct and timely collection of unpaid patient accounts with goals to be met, rebilling, payment posting, contractual write-offs, adjustments, appeals per multi-state and federal insurance regulations.
• 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.

Skills

Numerical ability

Team player

Attention to detail

Education

High School Diploma or GED

Tools

Microsoft Office

Google Workspace

Job description

Raintree Systems, Inc. is seeking an Accounts Receivable Specialist - Medical Claims for a fully remote role.

You will manage billing, insurance claims processing, and reimbursement workflows across multispecialty settings, ensuring accuracy and timeliness. The ideal candidate has experience with medical insurance claims billing, proficiency in Microsoft Office and Google applications, and strong numerical and communication skills.