Billing Specialist

Description

At Clarest Health, we are dedicated to transforming patient care by providing innovative and efficient pharmacy services to healthcare facilities. Our commitment to excellence ensures that our automated dispensing solutions streamline medication management, improve patient outcomes, and enhance the overall efficiency of healthcare operations. As a part of the Clarest Health team, you'll be contributing to a mission-driven organization that is redefining the future of pharmacy services and making a meaningful impact on the lives of patients and healthcare professionals across the nation.

The Billing Specialist is responsible for accurate and timely billing for Remedi SeniorCare customers. This role supports billing operations through claim processing, eligibility verification, account research, reporting, and responsive customer service.

Location: Baltimore, MD (Remote after training)

Salary: $17.00 - $20.00 per hour (Depending on Experience)

Schedule: Monday – Friday | 8:30AM – 5:00PM

What We Offer:

• 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
• Make a difference in the lives of others!
• We are growing and that means more opportunities

Key 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.

Qualifications:

• High school diploma or GED equivalent.
• Minimum of two years of medical billing or collections experience preferred; prior pharmacy experience, particularly long-term care pharmacy billing, is a plus.
• 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.

Skills Abilities:

• 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.

Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.