Billing Specialist - Remote After Training

Summary

Clarest Health provides innovative pharmacy services and automated medication-dispensing solutions to healthcare facilities. The Billing Specialist is responsible for accurate and timely customer billing, including claims processing, eligibility verification, account research, reporting, documentation, and responsive customer service.

Responsibilities

• Accurately process monthly billing, including eligibility checks, pre-bills, billing statements, and facility bill distribution
• Process claims, resolve rejected claims, and address billing discrepancies, including composite billing and split billing
• Research and process price matching requests, payer changes, write-offs, returned mail, hospice information, and other billing-related items
• Maintain billing documentation and queues, including DocuTrack, while ensuring information is accurate and up to date
• Respond to billing questions from facilities, patients, families, responsible parties, and internal departments with a strong customer service focus
• Prepare and review assigned daily, weekly, and monthly financial reports, including short-pay and open-batch reviews
• Research and respond to third-party audits and assist with resolving complex billing issues as needed
• Follow company policies and applicable state and federal regulations while participating in process improvement initiatives and other assigned projects

Skills

• High school diploma or GED equivalent
• Proficiency with Microsoft Excel, Word, Outlook, healthcare systems, databases, and data-entry software
• Strong written and verbal communication skills with a professional, customer-focused approach
• Comfortable learning and working with technology and multiple computer systems
• Ability to work independently, stay organized, solve problems, and manage multiple priorities while meeting deadlines
• Flexibility to pivot throughout the day as priorities, customer needs, and departmental demands change
• Ability to handle sensitive or stressful situations professionally while maintaining confidentiality and complying with HIPAA requirements
• Ability to sit for extended periods of time during the workday
• Ability to exert up to 40 lbs. of force occasionally and lift, carry, push, or move objects
• Ability to communicate effectively and work collaboratively with internal teams, customers, and insurance companies
• Strong attention to detail and ability to maintain accuracy in a deadline-driven environment
• Minimum of two years of medical billing or collections experience preferred; prior pharmacy experience, particularly long-term care pharmacy billing, is a plus

Qualifications

Must Haves

• High school diploma or GED equivalent
• Proficiency with Microsoft Excel, Word, Outlook, healthcare systems, databases, and data-entry software
• Strong written and verbal communication skills with a professional, customer-focused approach
• Comfortable learning and working with technology and multiple computer systems
• Ability to work independently, stay organized, solve problems, and manage multiple priorities while meeting deadlines
• Flexibility to pivot throughout the day as priorities, customer needs, and departmental demands change
• Ability to handle sensitive or stressful situations professionally while maintaining confidentiality and complying with HIPAA requirements
• Ability to sit for extended periods of time during the workday
• Ability to exert up to 40 lbs. of force occasionally and lift, carry, push, or move objects
• Ability to communicate effectively and work collaboratively with internal teams, customers, and insurance companies
• Strong attention to detail and ability to maintain accuracy in a deadline-driven environment

Nice to Haves

• Minimum of two years of medical billing or collections experience preferred; prior pharmacy experience, particularly long-term care pharmacy billing, is a plus

Benefits

• Company-provided technology and equipment
• Comprehensive Medical, Dental and Vision Insurance (as low as $13.37/pay)
• Paid Time Off
• Free Virtual Care – Telemedicine
• Flexible Spending and Health Savings Accounts
• 401k with company match
• Corporate Discount Program
• Referral Bonuses
• Life Insurance
• Pet Insurance
• Legal Insurance
• Remote after training