Accounts Receivable Specialist - (Physical Therapy/Medical Billing/EHR)

Duties and Responsibilities

• Prepare and re-submit clean claims to various insurance companies either electronically or by paper in accordance with specific 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.
• Recognize 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.

Position Proficiencies and Requirements

• 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 in a fast-paced setting.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to define problems, collect data, establish facts, and identify trends.
• Ability to exercise good judgment and escalate issues appropriately.

Competencies to Drive Success

• Strong written and verbal communication skills; a self-starter who is dependable and reliable.
• Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as the ability to work independently.
• Strong organizational skills and detail oriented with the ability to prioritize, complete tasks, and meet deadlines.
• Must be able to promote a positive influence within the team, department, and company.
• Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.

Our Perks

• Remote Work/Work From Home
• Paid Time Off/11 Paid Holidays/Year-End Holiday Break
• Health, Dental, Vision, HSA/FSA
• 401K with Company Match
• Disability & Life Insurance
• Employee Assistance Program
• Paid Parental Leave

Our Core Values

• We put our Clients First - We are Open and Honest - We are Disciplined, Yet Flexible
• We love to Solve Problems - We are Committed to Greatness - We are a High Performance Team

U.S. Based Perks

Remote First

Health, Dental, Vision, HSA/FSA,

• 401K with Company Match
• Disability & Life Insurance
• Employee Assistance Program
• Paid Parental Leave