Remote Medical Claims AR Specialist

Raintree Systems, Inc.; South Fulton (GA); Remote; USD 50,000 - 75,000; Full time

Job summary

Raintree Systems, Inc. is seeking an Accounts Receivable Specialist to manage billing and collections for multispecialty medical services.

This fully remote role supports providers across designated US states, focusing on timely and accurate claims submission and reimbursement. You will handle clean claim submissions, follow-ups, appeals, and patient balance statements while ensuring compliance with payer guidelines and internal policies.

Qualifications

• 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.

Responsibilities

• Prepare and re-submit clean claims to insurance companies electronically or by paper per payer guidelines.
• Analyze and correct first pass rejected claims for second pass clean claim submission.
• Research and perform all primary and secondary billing claim status follow up activities.
• Review, evaluate and process all claim appeals with complete documentation for resubmission.
• Research and recommend account adjustments and/or write-offs to the Manager based on collectability.
• Recognize and report claims problems, errors, and discrepancies to management to resolve billing trends.
• Generate and submit monthly patient balance due statements as dictated by explanations of benefits.
• Review patient accounts, identify delinquent accounts, and collect overdue payments.
• Answer patient questions about billing and payments.
• Investigate and/or direct patient inquiries or complaints to the appropriate staff member.

Skills

Medical billing

Accounts receivable

Proactive inquiry

Education

High School Diploma or GED

Tools

Microsoft Office

Excel

Word

Outlook

Google Applications

Job description

Raintree Systems, Inc. is seeking an Accounts Receivable Specialist to manage billing and collections for multispecialty medical services.

This fully remote role supports providers across designated US states, focusing on timely and accurate claims submission and reimbursement. You will handle clean claim submissions, follow-ups, appeals, and patient balance statements while ensuring compliance with payer guidelines and internal policies.