Accounts Receivable Specialist – Physical Therapy, Medical Billing, EHR

This is a fully remote position, open to applicants in Alabama, +16 more states.

📋 Description

• Prepare and resubmit accurate claims to insurance companies electronically or via paper, adhering to payer guidelines and contractual requirements.

• Analyze and rectify claims rejected on the first pass to ensure complete and precise second-pass submissions.

• Conduct research and perform both primary and secondary follow-ups on billing claim statuses for designated insurance plans.

• Review, assess, and process claim appeals, ensuring all supporting documentation is complete.

• Investigate and suggest adjustments and write-offs for customer accounts to the Manager.

• Identify and report issues related to claims, errors, discrepancies, and billing trends to management.

• Generate and submit monthly statements for patient balances due based on insurance explanations of benefits.

• Review patient accounts to identify overdue accounts and facilitate the collection of outstanding payments.

• Address patient inquiries regarding billing and payments effectively.

• Investigate or redirect patient complaints and inquiries to the appropriate staff member.

• Ensure that billing is accurate, compliant, and timely, facilitating appropriate reimbursement for medical professional services.

⛳️ Requirements

• High School Diploma, GED, or equivalent relevant work experience.

• A minimum of 7 years of experience is required.

• Experience in Medical Insurance Claims billing is preferred.

• Proficiency in Microsoft Office (Outlook, Excel, Word) and Google applications.

• A proactive approach and a basic understanding of AI to identify efficiency improvements and streamline daily operations.

• Capability to perform basic arithmetic operations including addition, subtraction, multiplication, and division with whole numbers, fractions, and decimals.

• Ability to define problems, gather data, establish facts, and identify trends.

• Good judgment and ability to escalate issues as needed.

• Strong written and verbal communication skills.

• Capacity to work effectively within a team and independently.

• Excellent organizational skills and meticulous attention to detail.

• Ability to prioritize tasks, complete them, and meet deadlines.

• Compliance with HIPAA guidelines, Raintree Systems HR policies, standard operating procedures, and corporate initiatives is mandatory.

• Must possess legal authorization to work in the United States.

• Disclosure of visa sponsorship requirements is necessary.

🏝️ Benefits

• Remote Work/Work From Home

• Paid Time Off

• 11 Paid Holidays per year

• Year-end holiday break

• Health insurance

• Dental insurance

• Vision insurance

• HSA/FSA

• 401K with Company Match

• Disability insurance

• Life insurance

• Employee Assistance Program

• Paid Parental Leave