Pharmacy Billing Specialist (Remote)

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 seeking 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.