RCM Implementation Consultant
New
R
Raintree SystemsHealthcare IT
Remote (designated states); fully remote anywhere in the U.S.Part-Time
Salary not disclosed
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Job Details
- Required Skills
- Project ManagementMS OfficeGoogle WorkspaceTraining
Requirements
- Have experience in at least two of these areas: revenue cycle management/medical billing software, implementations, product/project management, or training.
- Have direct experience with medical billing workflows and RCM operations, including charge entry, claim submission, payment posting, denial management, and accounts receivable management.
- Understand clearinghouse operations, electronic claim formats, ERAs, eligibility, and claim scrubbers.
- Have a bachelor’s degree in business, healthcare administration, or a related field.
- Have knowledge of medical computerized billing, EMR/EHR systems, and scheduling software.
- Have working knowledge of MS Windows, MS Office, or Google Workspace.
- Therapy-specific billing experience, including PT/OT/ST, Medicare Part B rules, modifiers, cap limits, and authorization tracking, is a plus.
- Web-based or classroom training/coaching experience is a plus.
- Experience in a medical office, billing office, customer service, IT, or support desk is a plus.
Responsibilities
- Manage implementation activities for assigned new and existing clients.
- Configure Raintree’s revenue cycle, billing, and clinical workflows using application best practices.
- Analyze client billing operations, fee schedules, payer setups, and charge capture workflows.
- Set up, configure, and test electronic claim submission, remittance advice, eligibility verification, and clearinghouse integrations.
- Coordinate with clearinghouse representatives and payer enrollment teams on EDI, EFT, and ERA connections.
- Direct end-to-end testing of clinical-to-billing handoffs, from scheduling and documentation through claim submission.
- Train client billing teams on claim scrubbing, denial management, patient statements, and financial reporting.
- Manage client contact, escalations, progress updates, project scope, and timelines.
- Coordinate data conversion, interface, and EDI/clearinghouse timelines, then hand off completed implementations to Client Support.
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