Clarity Rcm Jobs in Rosenberg, TX (NOW HIRING)

SUMMARY OF ROLE:

Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage.

This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems.

In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices.

If you're energized by the opportunity to wear multiple hats, influence strategy, improve patient access to life-saving therapy, and leave a lasting mark on a growing organization, we'd love to connect with you.

RESPONSIBILITIES:

Full-Cycle Insurance Billing & AR Management

• Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance).
• AR Follow-up: Monitor and aggressively pursue unpaid claims.
• Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement.
• Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments.

Patient Account Management & Advocacy

• Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand.
• Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing.
• Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need.

Process Building & Strategic Insight

• SOP Development: Help create and document standard operating procedures (SOPs) for the billing department.
• Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source.
• System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR."

QUALIFICATIONS:

• Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry.
• Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows.
• Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations.
• The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it.
• Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity.
• Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity

BENEFITS:

Element Science offers a very competitive salary and benefits package including, but not limited to:

• Stock Options
• 90% employer-paid medical, dental, and vision insurance
• Company-paid Basic Life Insurance
• 401(k) retirement plan (Traditional and Roth)
• Competitive Paid Time Off
• Paid Holidays
• FSA (Flexible Spending Accounts)
• HSA (Health Savings Account)
• Employee Assistance Program through PEO

The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role.