Remote Medical Payments Reconciliation Specialist

Raintree Systems, Inc.; Lansing (MI); Remote; USD 45,000 - 70,000; Full time

Benefits offered by this job

Remote First

PTO & Holidays

Health, Dental, Vision

401K with Company Match

Disability & Life Insurance

Employee Assistance Program

Parental Leave

Job summary

Raintree Systems, Inc. is seeking a Payment Reconciliation Specialist for a fully remote role in designated U.S. states. You will manage deposits, posting, remittances and follow-ups with focus on timeliness and accuracy.

The ideal candidate has 3+ years of medical insurance posting experience, knowledge of payer contracts and government reimbursement rules, and proficiency in Microsoft Office and billing software (Raintree Systems a plus).

Qualifications

• 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.

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.

Skills

Insurance posting

Payer contracts

Microsoft Office

A/R follow up

Billing software

Accounting basics

AI fluency

Teamwork

Tools

Raintree Systems

Job description

Raintree Systems, Inc. is seeking a Payment Reconciliation Specialist for a fully remote role in designated U.S. states. You will manage deposits, posting, remittances and follow-ups with focus on timeliness and accuracy.

The ideal candidate has 3+ years of medical insurance posting experience, knowledge of payer contracts and government reimbursement rules, and proficiency in Microsoft Office and billing software (Raintree Systems a plus).