Accounts Receivable Specialist

Summary

Join Raintree Systems as a remote Accounts Receivable Specialist and ensure accurate and timely billing for medical professional services. You will prepare and submit claims, analyze rejections, perform follow-up activities, process appeals, and recommend account adjustments. This role requires strong organizational skills, attention to detail, and proficiency in medical billing. The position offers a fully remote work environment (in designated states) and a comprehensive benefits package, including paid time off, health insurance, 401k matching, and paid parental leave. Success in this role demands excellent communication, teamwork, and adherence to HIPAA guidelines. Apply today to join our high-performing team!

Requirements

• High School Diploma, GED, or equivalent work experience
• One to three (3) years of experience with a 10-Key by touch
• Proficient in Microsoft office (Outlook, Excel, Word) and Google applications
• 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
• Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives

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

Preferred Qualifications

• Experience in Medical Insurance Claims billing preferred
• 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

Benefits

• 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