Remote Medical AR Specialist – Claims & Rebilling Expert

Raintree Systems, Inc.; Charlotte (NC); Teletrabalho; USD 55 000 - 75 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

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

Resumo da oferta

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

Qualificações

• 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.

Responsabilidades

• 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.

Conhecimentos

Microsoft Office

Outlook

Excel

Word

Google Apps

AI fluency

Numerical skills

Formação académica

High School Diploma/GED or equivalent

Descrição da oferta de emprego

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