Offer summary

Qualifications:

One year of experience in LTC billing and reimbursement., Intermediate knowledge of Medicare D Insurance and all potential payers., Ability to maintain confidentiality and understand relevant laws and billing best practices., Proficiency in Word, Excel, Outlook, and Teams, with strong communication skills..

Key responsibilities:

Enter and process data related to facility census and patient records.

Validate insurance information and process claims through third-party vendors.

Generate revenue cycle invoices and provide customer support for billing inquiries.

Ensure billing accuracy and compliance with contractual agreements.

Job description

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.

We are seek ing a Pharmacy Billing Specialist who will play a key role in ensuring accurate and efficient billing operations.

Location: Remote

Salary : $ 18-$21 per hour

Schedule: Monday to Friday 8:30 am – 5:00 pm EST

What We Offer

Comprehensive Medical, Dental and Vision Insurance (as low as $13.73/pay)
Paid Time Off
Free Virtual Care – Telemedicine
401k with company match
Referral Bonuses
Life Insurance
Make a difference in the lives of others!
We are growing and that means more opportunities

Key Responsibilities

Enter and process data related to facility census and patient records
Validate insurance information and responsible party details
Process claims through third-party vendors using electronic, online, or manual methods
Conduct pre-billing accuracy checks and take corrective actions as needed
Generate revenue cycle invoices and statements
Communicate with internal and external stakeholders via email, phone, and fax
Provide customer support to clarify or resolve billing inquiries
Ensure billing aligns with census records, therapeutic interchanges, and contractual agreements
Assist with additional billing tasks as directed
Adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources, or the Compliance Officer

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of this employee for this role

Qualifications

One Year Experience in LTC Billing & Reimbursement
Demonstrate ability to use and or learn Framework and DocuTrak
Ability to maintain confidentiality including but not limited to HIPPA
Understanding relevant laws and billing best practices

Skills + Abilities:

Intermediate knowledge of Medicare D Insurance, Medicare A, and all potential payers
Knowledge of Third-Party Processing, and/or Pharmacy Operations
Understand the importance of accuracy and the attention to detail
Ability to multi-task and prioritize in a fast-paced environment
Experience with Word, Excel, Outlook, and Teams
Ability to organize and coordinate tasks
Demonstrate ability to collaborate with team members and individual across Clarest to process daily job requirements
Excellent oral and written communication skills to be able to clearly articulate team and Clarest needs to perform job responsibilities

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.

Required profile