Remote RCM & EHR Implementation Consultant

Raintree Systems, Inc.; Maryland; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Paid time off

Health insurance

Dental & Vision

HSA/FSA

Disability & Life Insurance

Employee Assistance Program

Job summary

Raintree Systems, Inc. is seeking an Implementation Consultant specializing in Revenue Cycle Management (RCM) to lead remote client implementations.

You will manage setup, configuration, and optimization of Raintree’s RCM module across billing, clinical workflows, and EDI/EFT integrations. You will oversee testing, onboarding, and knowledge transfer to client billing teams, ensuring milestones are met and smooth transitions from scheduling to final claim submission.

Qualifications

• Direct experience with medical billing workflows and RCM operations (charge entry, claim submission, payment posting, denial management, and AR management).
• Solid understanding of clearinghouse operations, electronic claim formats, ERAs, eligibility and claim scrubbers.
• Familiarity with therapy-specific billing requirements (PT/OT/ST), including Medicare Part B rules, modifiers, cap limits, and authorization tracking, is a strong plus.
• A Bachelor's Degree in business, healthcare administration, or a related field.
• Web-based Training or Classroom Training/Coaching experience is a plus.
• Knowledge of medical computerized billing, EMR/EHR systems, and scheduling software systems required.
• Work experience in a medical office environment, billing office, customer service, IT, or support desk is a plus.
• Strong working knowledge of MS Windows, MS Office, or Google Workspace.
• Ability to lead a client successfully through complex financial and technical processes.
• Excellent communication and organizational skills with a customer service focus.

Responsibilities

• Oversee, coordinate, and manage all aspects of the implementation for new and existing clients.
• Configure the Raintree application utilizing best practices for the latest features and functionality in the system for a given client, with specific emphasis on revenue cycle, billing, and clinical workflows.
• Analyze client billing operations, fee schedules, payer setups, and charge capture workflows to configure Raintree’s RCM module for optimal clean claim rates and reduced days in AR.
• Lead the setup, configuration, and testing of electronic claim submission, electronic remittance advice, real-time eligibility verification, and clearinghouse integrations.
• Partner with clearinghouse representatives and payer enrollment teams to ensure smooth transition and onboarding of electronic data interchange (EDI), electronic funds transfer (EFT), and ERA connections.
• Direct comprehensive end-to-end testing of clinical-to-billing handoffs—from scheduling, co-pay collection, and clinical documentation charge capture through to final claim generation and submission.
• Train client billing teams, billers, and revenue cycle managers through key product learning milestones, including claim scrubbing, denial management, patient statement processing, and financial reporting.
• Serve as a direct point of customer contact during the implementation.
• Ensure implementation milestones are met on time.
• Coordinate data conversion, interface, and EDI/clearinghouse timelines and expectations.
• Follow project plans and manage scope and timeline, escalating to project managers as needed.
• Hand off to Client Support when the client has successfully completed the implementation process.
• Support sales team in hand-off of new clients.
• Perform other duties as needed and directed by project managers.

Skills

Medical billing

RCM operations

Charge entry

Claim submission

Payment posting

Denial management

AR management

MS Windows / Office

Education

Bachelor's degree in business or healthcare administration

Tools

Clearinghouse operations

ERA processing

EDI / EFT integration

EMR/EHR systems

Job description

Raintree Systems, Inc. is seeking an Implementation Consultant specializing in Revenue Cycle Management (RCM) to lead remote client implementations.

You will manage setup, configuration, and optimization of Raintree’s RCM module across billing, clinical workflows, and EDI/EFT integrations. You will oversee testing, onboarding, and knowledge transfer to client billing teams, ensuring milestones are met and smooth transitions from scheduling to final claim submission.