Fully remote role based in the United States. Compensation: Competitive salary with benefits, commensurate with experience. Why Join Clarity RCM At Clarity, you will join a mission-driven, founder ...
Fully remote role based in the United States. Compensation: Competitive salary with benefits, commensurate with experience. Why Join Clarity RCM At Clarity, you will join a mission-driven, founder ...
Create clarity where there was ambiguity. * Ship work that is reliable, observable, and ... remote, mission-driven team that values flexibility and impact. You'll collaborate with ...
Create clarity where there was ambiguity. * Ship work that is reliable, observable, and ... remote, mission-driven team that values flexibility and impact. You'll collaborate with ...
United States (Remote / Hybrid) SUMMARY - WHAT THE HIRING MANAGER IS LOOKING FOR Seeking a ... HL7 v2.x Messaging (ADT, ORU, ORM) * Healthcare Revenue Cycle Management (RCM) * Prior ...
United States (Remote / Hybrid) SUMMARY - WHAT THE HIRING MANAGER IS LOOKING FOR Seeking a ... HL7 v2.x Messaging (ADT, ORU, ORM) * Healthcare Revenue Cycle Management (RCM) * Prior ...
Associate Product Manager
Ferndale, WA · Remote
Fully remote position, home office * Employment Type: Full-time * Employment Status: Exempt ... Ensure scope clarity, unblock decisions, and keep the engineering team moving against committed ...
Quick apply
Associate Product Manager
Ferndale, WA · Remote
Fully remote position, home office * Employment Type: Full-time * Employment Status: Exempt ... Ensure scope clarity, unblock decisions, and keep the engineering team moving against committed ...
Associate Product Manager
Ferndale, WA · On-site +1
$117K - $146K/yr
Fully remote position, home office * Employment Type: Full-time * Employment Status: Exempt ... Ensure scope clarity, unblock decisions, and keep the engineering team moving against committed ...
Associate Product Manager
Ferndale, WA · On-site +1
$117K - $146K/yr
Fully remote position, home office * Employment Type: Full-time * Employment Status: Exempt ... Ensure scope clarity, unblock decisions, and keep the engineering team moving against committed ...
Product Manager, Practice Management & Front-End Operations
Denver, CO · On-site +1
$125K - $150K/yr
Ensure alignment between patient flow, clinical handoff, and RCM processes to minimize rework ... This is a remote position. Compensation: $125,000.00 - $150,000.00 per year We are an equal ...
Product Manager, Practice Management & Front-End Operations
Denver, CO · On-site +1
$125K - $150K/yr
Ensure alignment between patient flow, clinical handoff, and RCM processes to minimize rework ... This is a remote position. Compensation: $125,000.00 - $150,000.00 per year We are an equal ...
Payer Manager
Scottsdale, AZ · On-site +1
$114K - $117K/yr
Turn complexity into clarity. Lead the engine that powers patient access to care. At SimonMed ... Team leadership skills: 5+ years leading RCM teams across onshore and offshore environments, with a ...
Payer Manager
Scottsdale, AZ · On-site +1
$114K - $117K/yr
Turn complexity into clarity. Lead the engine that powers patient access to care. At SimonMed ... Team leadership skills: 5+ years leading RCM teams across onshore and offshore environments, with a ...
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
Senior Enrollment | Prairie, |
$20.38 - $36.44/hr
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
Senior Enrollment | Prairie, |
$20.38 - $36.44/hr
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
Senior Enrollment | Prairie, |
$20.38 - $36.44/hr
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
Senior Enrollment | Prairie, |
$20.38 - $36.44/hr
... RCM) to ensure enrollment accuracy directly supports timely reimbursement. Get ready for some ... Remote - Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...
New
Revenue Cycle Implementation Manager Remote - Cooper City, FL Job Summary The Revenue Cycle ... clarity across all phases of implementation. The role ensures alignment with client objectives ...
Revenue Cycle Implementation Manager Remote - Cooper City, FL Job Summary The Revenue Cycle ... clarity across all phases of implementation. The role ensures alignment with client objectives ...
Implementation Lead, Revenue Cycle
$150K - $170K/yr
... clarity, order, and momentum to even the most complex implementations. **This role is fully remote ... Expertise in RCM software of EHR, preferably with certifications in Epic, Cerner, or Meditech * In ...
Implementation Lead, Revenue Cycle
$150K - $170K/yr
... clarity, order, and momentum to even the most complex implementations. **This role is fully remote ... Expertise in RCM software of EHR, preferably with certifications in Epic, Cerner, or Meditech * In ...
Director of Client Success, Partners
Los Angeles, CA · Remote
$180K - $200K/yr
Our Revenue Cycle Management (RCM) partners don't simply refer business to Pivotal. They influence ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...
Quick apply
Director of Client Success, Partners
Los Angeles, CA · Remote
$180K - $200K/yr
Our Revenue Cycle Management (RCM) partners don't simply refer business to Pivotal. They influence ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...
Business Development Representative
Boston, MA · Remote
$50K - $75K/yr
... clarity and affordability. Backed by strong market momentum and a bold vision for the future of ... RCM companies, pharmacies, and Health IT vendors. As we continue to scale both product lines, we ...
Quick apply
Business Development Representative
Boston, MA · Remote
$50K - $75K/yr
... clarity and affordability. Backed by strong market momentum and a bold vision for the future of ... RCM companies, pharmacies, and Health IT vendors. As we continue to scale both product lines, we ...
Director of Client Success, Partners
New York, NY · Remote
$180K - $200K/yr
Our Revenue Cycle Management (RCM) partners don't simply refer business to Pivotal. They influence ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...
Quick apply
Director of Client Success, Partners
New York, NY · Remote
$180K - $200K/yr
Our Revenue Cycle Management (RCM) partners don't simply refer business to Pivotal. They influence ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...
(Remote) Technical Product Manager PM/EMR
Tennessee, IL · Remote
$160K - $186K/yr
Product direction and roadmap for PM and EMR, with primary depth in PM and RCM. * The Jira backlog ... Your power comes from the clarity of your thinking, the quality of your artifacts, and the trust ...
(Remote) Technical Product Manager PM/EMR
Tennessee, IL · Remote
$160K - $186K/yr
Product direction and roadmap for PM and EMR, with primary depth in PM and RCM. * The Jira backlog ... Your power comes from the clarity of your thinking, the quality of your artifacts, and the trust ...
Remote Clarity Rcm information
What is a Remote Clarity RCM specialist?
What are the key skills and qualifications needed to thrive as a Remote Clarity RCM (Revenue Cycle Management) specialist, and why are they important?
What is the difference between Remote Clarity Rcm vs Remote Medical Billing Specialist?
| Aspect | Remote Clarity Rcm | Remote Medical Billing Specialist |
|---|---|---|
| Credentials | Certification in Revenue Cycle Management or related fields often preferred | Medical billing certification or relevant training usually required |
| Work Environment | Remote, healthcare or healthcare administration setting | Remote, healthcare billing or insurance companies |
| Employer & Industry | Healthcare providers, hospitals, billing companies | Medical practices, billing firms, insurance companies |
| Search & Comparison Intent | Understanding RCM roles, revenue cycle management tasks | Billing processes, insurance claims, payment posting |
Remote Clarity Rcm focuses on revenue cycle management, including claims processing and reimbursement, often requiring specialized certifications. Remote Medical Billing Specialists handle insurance claims, payment posting, and billing tasks. While both roles are remote and healthcare-related, RCM roles tend to involve broader financial management, whereas billing specialists focus on claims and payments.
What are some common challenges faced by Remote Clarity RCM professionals, and how can they be managed?
Job description
Clarity RCM is the nation's leading revenue cycle platform for dermatology, partnering with independent practices in over 40 states to improve financial performance, streamline operations, and deliver exceptional patient experiences. We are a profitable, fast-growing company with a fully remote U.S. team and a large in-office operation in India.
The Role
US-Based Candidates only. International applicants will not be considered.
We are seeking a highly organized, detail-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing workflows, and payer setup for dermatology practices nationwide. This is a critical role that requires someone who can make sense of complex, disparate information and turn it into clear, repeatable processes.
The ideal candidate thrives in environments that need more structure. You enjoy bringing order to moving parts, synthesizing information from many sources, and building systems where none exist. You take pride in creating workflows, organizing information, documenting steps, and establishing processes that allow the credentialing function to scale.
You should be comfortable with complex requirements, persistent follow-up, and maintaining accurate, audit-ready documentation at all times. You are tech savvy, proactive, and committed to delivering clean, reliable work that enables providers to practice without interruption.
What You Will Do
Credentialing and Provider Onboarding
- Own the full lifecycle of credentialing for physicians and advanced practice providers, including initial onboarding, primary source verification, re-credentialing, and ongoing monitoring.
- Verify education, training, licenses, board certifications, malpractice insurance, and work history with complete accuracy.
- Ensure all credentialing files meet NCQA, TJC, CMS, and payer-specific requirements.
Payer Enrollment and Maintenance
- Prepare, submit, and track enrollment applications with commercial payers including BCBS, UHC, Aetna, and Cigna, as well as Medicare and Medicaid.
- Manage CAQH ProView including quarterly attestations and document maintenance.
- Process Medicare enrollments and updates through PECOS.
- Verify that providers are correctly linked to group tax IDs to prevent out-of-network billing issues.
- Track effective dates and panel statuses and communicate updates to internal stakeholders.
Process Building and Workflow Design
- Create structure in areas that currently have few or inconsistent processes.
- Organize credentialing inputs from multiple sources and turn them into clear workflows, trackers, and checklists.
- Identify bottlenecks, design solutions, and implement improvements that enhance accuracy, speed, and consistency.
- Document processes and maintain updated SOPs that support ongoing team alignment and scale.
Cross-Functional Collaboration
- Work closely with internal teams to keep credentialing and enrollment workflows moving.
- Support account managers, operations, and revenue cycle teams by providing accurate status updates and resolving credentialing-related blockers.
- Partner with billing and AR teams to investigate and resolve claim denials caused by credentialing or enrollment issues.
Data Management and Documentation
- Maintain accurate provider data across CAQH, PECOS, payer portals, and internal systems.
- Own a master tracker that includes effective dates, expirables, re-credentialing deadlines, panel statuses, and outstanding items.
- Keep all credentialing records continuously audit-ready with complete and up-to-date documentation.
Licensing Support
- Monitor expiring state licenses, DEA registrations, malpractice insurance, and board certifications.
- Communicate proactively with providers to ensure renewals are completed well before expiration dates.
What You Will Bring
- Experience: 2 to 3 years of hands-on medical credentialing or payer enrollment experience.
- Technical Knowledge: Familiarity with CAQH, PECOS, payer portals, and credentialing software. Strong understanding of NCQA, TJC, CMS, and standard credentialing requirements.
- Structure Building: A track record of bringing order to complex or unstructured environments and building processes that scale.
- Attention to Detail: Ability to identify inconsistencies instantly and maintain clean, accurate files.
- Follow-Through: Persistent and professional when gathering documentation or resolving gaps.
- Communication: Clear, concise, and confident written and verbal communication skills.
- Technology Mindset: Comfortable navigating multiple systems and adopting new tools.
- Judgment: Ability to handle PHI and sensitive information with complete discretion.
- Mindset: Process-driven, organized, proactive, resourceful, and committed to continuous improvement.
Additional Details
Location: Fully remote role based in the United States.
Compensation: Competitive salary with benefits, commensurate with experience.
Why Join Clarity RCM
At Clarity, you will join a mission-driven, founder-led organization transforming how independent dermatology practices operate. You will help build a credentialing function known for accuracy, speed, and reliability, and you will be part of a culture that values operational excellence, collaboration, and continuous improvement.
About Clarity RCM
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1 - 10 Employees
Headquarters location
San Francisco, CA, US
Year founded
2017