Job description

About the Role

This position sits within Revenue Cycle Management and reports to the Director of Revenue Cycle. It focuses on overseeing the financial flow tied to patient care, with an emphasis on accurate billing, prompt claims submission, and efficient reimbursement.

The role is based remotely in the United States.

Key Responsibilities

Apply payments, adjustments, and denials from patients and all payer sources.
Keep every transaction current and accurate in line with internal accounting standards.
Spot underpayments or payments below contracted/allowed amounts and escalate them to the Director.
Update demographic details, tax information, and EFT/banking records promptly.
Review insurance and patient accounts to determine whether refunds are due, then process refunds when appropriate.
Retrieve and route correspondence, EOBs, and ERAs from mail, payer portals, banking lockbox, fax, and email.
Handle patient billing questions, arrange payment plans, and follow up on outstanding balances.
Speak with patients to clarify charges, resolve billing concerns, and support a positive billing experience.
Create monthly patient statements.
Prepare claims so they transfer cleanly from the EMR to the clearinghouse.
Post charges and submit completed claims to payers without delay.
Work accounts by correcting billing edits and clearinghouse rejections.
Use payer portals to submit claims for adjudication.
Draft invoices for third-party payers.
Prepare revenue cycle reports to track payment trends, denials, and accounts receivable.
Collaborate with internal and external revenue cycle teams to keep operations aligned and efficient.
Take on additional duties assigned by the Billing Director, including special projects, process improvements, and operational support.

Required Qualifications

A high school diploma or equivalent is required; an associate or bachelor’s degree is preferred.
At least 2 years of experience in medical billing.
Strong accuracy, organization, and deadline management skills.
Working knowledge of Microsoft Office tools.
Solid analytical thinking and problem-solving ability.
Professional communication skills, both written and spoken.
Ability to understand payer rules and regulatory requirements.
Good time management and prioritization skills.
A cooperative, service-focused approach to teamwork.

Work Conditions

The job requires sitting for long periods and frequent use of a computer and phone.
Multiple priorities must be managed in a fast-paced setting.
Occasional overtime may be needed to meet operational deadlines.
The position must be performed in a remote work environment.

Additional Information

Reasonable accommodation may be provided for qualified individuals with disabilities so they can perform the essential functions of the role.

This job description is not exhaustive and may be updated or modified at any time, with or without notice.

Why Join Us?

Areté Health is a growing outpatient physical therapy organization centered on patient care, strong clinical outcomes, team culture, and operational excellence. The company supports a people-first leadership style and offers the opportunity to contribute to the growth of a mission-driven organization focused on patients and providers.

Equal Opportunity

Areté Health is committed to equal employment opportunity and does not discriminate or harass based on race, color, religion, age, sex, national origin, disability, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other status protected by law.

Revenue Cycle Management Specialist