Remote RCM Implementation Consultant – Healthcare IT

Raintree Systems, Inc.; Yorktown (VA); Remoto; USD 90.000 - 125.000; Tempo integral

Resumo da vaga

Raintree Systems, Inc. is recruiting an Implementation Consultant for Revenue Cycle Management.

This fully remote role supports clients across designated US states, guiding them through the setup, configuration, and optimization of Raintree’s RCM, billing, and clearinghouse workflows to maximize financial efficiency. Responsibilities include leading end-to-end implementation, configuring the system for revenue cycle and clinical workflows, testing EDI and EFT connections, and training client

Qualificações

• 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.
• Ability to prioritize effectively and handle shifting priorities professionally.
• Personal track record of being thorough, courteous, and responsive in customer service.

Responsabilidades

• 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.

Conhecimentos

Medical billing workflows

RCM operations

Client relationship management

Communication skills

Project coordination

MS Windows / Office / Google Workspace

Formação

Bachelor's Degree in business or healthcare administration

Ferramentas

EMR/EHR systems

Scheduling software

Clearinghouse platforms

Descrição da vaga

Raintree Systems, Inc. is recruiting an Implementation Consultant for Revenue Cycle Management.

This fully remote role supports clients across designated US states, guiding them through the setup, configuration, and optimization of Raintree’s RCM, billing, and clearinghouse workflows to maximize financial efficiency. Responsibilities include leading end-to-end implementation, configuring the system for revenue cycle and clinical workflows, testing EDI and EFT connections, and training client