Remote Medical Claims AR Specialist

Raintree Systems, Inc.; Philadelphia (Philadelphia County); À distance; USD 42 000 - 60 000; Plein temps

Avantages offerts par ce poste

Paid Time Off & holidays

Health, Dental, Vision, HSA/FSA

Disability & Life Insurance

Employee Assistance Program

Remote Work/Work From Home

Résumé du poste

Raintree Systems, Inc. is a leading AI-powered EMR and practice management platform serving multispecialty therapy providers across the United States.

The Accounts Receivable Specialist - Medical Claims role focuses on accurate billing, submission, and follow-up, supporting compliant processes and timely reimbursements. It offers a fully remote arrangement with collaboration across clinical and billing teams to ensure high-quality patient care.

Qualifications

• Experience in Medical Insurance Claims billing preferred.
• Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
• Ability to perform basic arithmetic and data analysis.
• Strong team player with excellent interpersonal skills.

Responsabilités

• Ensure accurate, compliant, timely billing and reimbursement for multispecialty medical professional services from various insurance payers and patients.
• Prepare and re-submit clean claims to insurers electronically or by paper per 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.
• Identify 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.

Connaissances

Microsoft Office

Google Applications

Analytical skills

Teamwork

Attention to detail

Formation

High School Diploma or GED

Description du poste

Raintree Systems, Inc. is a leading AI-powered EMR and practice management platform serving multispecialty therapy providers across the United States.

The Accounts Receivable Specialist - Medical Claims role focuses on accurate billing, submission, and follow-up, supporting compliant processes and timely reimbursements. It offers a fully remote arrangement with collaboration across clinical and billing teams to ensure high-quality patient care.