Accounts Receivable Specialist – Physical Therapy, Medical Billing, EHR

This is a fully remote position, open to applicants in Alabama, +13 more states.

📋 Description

• Oversee precise, compliant, and timely billing, ensuring appropriate reimbursement for multispecialty medical professional services from various insurance providers and patients.

• Prepare and re-submit accurate claims to different insurance companies either electronically or via paper, adhering to specific payer guidelines and contractual obligations.

• Analyze and rectify claims rejected on the first pass, ensuring completeness and accuracy of information for subsequent clean claim submissions.

• Conduct research and execute all primary and secondary billing claim status follow-up activities for designated insurance plans.

• Review, assess, and process all claim appeals through resubmission to insurance carriers, providing complete and accurate supporting documentation as required.

• Investigate and propose any necessary adjustments and/or write-offs to customer accounts to the Manager based on the collectability of accounts with insurance carriers or patients.

• Identify and report claims issues, errors, and discrepancies to management to proactively detect and effectively address billing trends in a timely manner.

• Generate and distribute monthly patient balance due statements to clients based on the explanations of benefits received from their insurance providers.

• Review patient accounts, identify delinquent accounts, and pursue overdue payments.

• Address patient inquiries regarding billing and payments.

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

⛳️ Requirements

• High School Diploma, GED, or equivalent professional experience.

• Preferred experience in Medical Insurance Claims billing.

• A minimum of 7 years of relevant experience is required.

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

• Competence in basic arithmetic including addition, subtraction, multiplication, and division in all units of measure, using whole numbers, common fractions, and decimals.

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

• Capacity to exercise sound judgment and escalate issues appropriately.

• Excellent written and verbal communication skills; a self-starter who is dependable and trustworthy.

• Strong team player with exceptional interpersonal skills, while also capable of working independently.

• Excellent organizational skills, detail-oriented, with the ability to prioritize tasks, complete them, and meet deadlines.

• Must promote a positive influence within the team, department, and organization.

• Ensure compliance with departmental policies regarding HIPAA, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.

🏝️ Benefits

• Remote Work/Work From Home.

• Paid Time Off, 11 Paid Holidays, and a Year-End Holiday Break.

• Health, Dental, Vision, HSA/FSA options.

• 401K with Company Match.

• Disability and Life Insurance.

• Employee Assistance Program.

• Paid Parental Leave.