RCM Implementation Consultant - EHR/SaaS/Healthcare IT/PT

Raintree Systems, Inc.

2d•Remote

About The Position

The RCM Implementation Consultant manages implementations for assigned new and existing clients, serving as the primary subject matter expert for configuring and optimizing Raintree’s revenue cycle management, billing, clearinghouse, and related clinical workflows. The role works directly with healthcare organizations to identify and prioritize strategic revenue cycle and clinical setup needs and support efficient implementations. This position is fully remote in the United States, ideally from one of the designated states: AL, FL, GA, IN, IL, MA, MD, MI, MS, NJ, NC, OK, OH, PA, SC, TN, TX, VA, VT, or WI. The consultant analyzes client billing operations, fee schedules, payer setups, and charge capture workflows; leads electronic claims, remittance, eligibility, and clearinghouse setup and testing; and coordinates with clearinghouse representatives and payer enrollment teams on EDI, EFT, and ERA connections. The role directs end-to-end clinical-to-billing testing and trains client billing teams on product workflows, including claim scrubbing, denial management, patient statements, and financial reporting. The consultant is the direct client contact during implementation, manages escalations and expectations, communicates progress, and ensures milestones, scope, and timelines are addressed. Responsibilities also include coordinating data conversion, interfaces, and clearinghouse timelines; working with project managers; supporting sales handoffs; transitioning completed implementations to Client Support; and assuring client satisfaction.

Requirements

Experience in at least two of the following areas: revenue cycle management or medical billing software, implementations, product or project management, and training.
Direct experience with medical billing workflows and RCM operations, including charge entry, claim submission, payment posting, denial management, and accounts receivable management.
Solid understanding of clearinghouse operations, electronic claim formats, ERAs, eligibility, and claim scrubbers.
Bachelor’s degree in business, healthcare administration, or a related field.
Knowledge of medical computerized billing, EMR/EHR systems, and scheduling software systems.
Strong working knowledge of MS Windows, MS Office, or Google Workspace.
Ability to lead clients through complex financial and technical processes and manage client expectations.
Excellent written and oral communication, organizational, and customer service skills.
Ability to prioritize effectively and handle shifting priorities professionally.
Thorough, courteous, and responsive approach to customer service; ability to communicate professionally with varied business contacts.
Self-starter able to organize work for maximum efficiency.

Nice To Haves

Familiarity with therapy-specific billing requirements for PT/OT/ST, including Medicare Part B rules, modifiers, cap limits, and authorization tracking.
Web-based training or classroom training/coaching experience.
Work experience in a medical office environment, billing office, customer service, IT, or support desk.

Responsibilities

Oversee, coordinate, and manage all aspects of implementations for new and existing clients.
Configure the Raintree application using best practices and current system features, with emphasis on revenue cycle, billing, and clinical workflows.
Analyze client billing operations, fee schedules, payer setups, and charge capture workflows to optimize clean claim rates and reduce days in accounts receivable.
Lead setup, configuration, and testing of electronic claim submission, electronic remittance advice, real-time eligibility verification, and clearinghouse integrations.
Partner with clearinghouse representatives and payer enrollment teams to coordinate EDI, EFT, and ERA onboarding.
Direct end-to-end testing of clinical-to-billing handoffs, from scheduling, copay collection, and clinical documentation charge capture through claim generation and submission.
Train client billing teams, billers, and revenue cycle managers on product learning milestones, including claim scrubbing, denial management, patient statement processing, and financial reporting.
Serve as a direct point of customer contact during implementation.
Proactively and independently manage client escalations.
Review client processes and help develop new workflow plans.
Communicate progress updates weekly or as agreed with the client.
Ensure implementation milestones are met on time.
Coordinate data conversion, interface, and EDI/clearinghouse timelines and expectations.
Follow project plans, manage scope and timeline, and escalate to project managers as needed.
Hand off clients to Client Support after successful implementation.
Support the sales team in handing off new clients.
Assure overall client satisfaction.
Perform other duties as needed and directed by project managers.