Manage remote RCM team members. * Hold team members accountable for completing insurance ... Ensure clarity and consistency in patient billing, statements, and financial communication.
Manage remote RCM team members. * Hold team members accountable for completing insurance ... Ensure clarity and consistency in patient billing, statements, and financial communication.
Remote Clarity Rcm information
What is a Remote Clarity RCM specialist?
A Remote Clarity RCM (Revenue Cycle Management) specialist is a professional who manages the financial processes of healthcare practices using Clarity RCM software, but works remotely rather than on-site. Their main responsibilities include handling medical billing, claims submissions, payment posting, and resolving insurance denials to ensure healthcare providers receive proper reimbursement. Working remotely allows them to perform these tasks from anywhere, using secure access to healthcare systems. This role is crucial for maintaining the financial health of a medical practice and ensuring compliance with healthcare regulations.
What are the key skills and qualifications needed to thrive as a Remote Clarity RCM (Revenue Cycle Management) specialist, and why are they important?
To thrive as a Remote Clarity RCM specialist, you need expertise in medical billing, coding, revenue cycle processes, and a solid understanding of healthcare regulations, often supported by a degree in healthcare administration or a related field. Proficiency with Epic Clarity, EHR systems, and RCM software, along with certifications like CPC or CRCR, is typically required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for identifying discrepancies and collaborating with remote teams. These competencies ensure accurate billing, compliance, and optimal financial performance for healthcare organizations.
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?
Remote Clarity RCM professionals often encounter challenges such as staying updated with frequent changes in billing regulations and payer requirements, maintaining effective communication with healthcare providers, and managing time efficiently while working from home. To address these, it's important to participate in regular training sessions, leverage collaboration tools for clear communication, and set structured daily routines to ensure productivity. Staying proactive about industry updates and fostering strong virtual teamwork can help overcome these challenges and contribute to success in the role.
What are the most commonly searched types of Clarity Rcm jobs in Texas? The most popular types of Clarity Rcm jobs in Texas are:
What are popular job titles related to Remote Clarity Rcm jobs in Texas? For Remote Clarity Rcm jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Clarity Rcm jobs in Texas look for? The top searched job categories for Remote Clarity Rcm jobs in Texas are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 21 days ago
Job description
ROOT Periodontal and Implant Center is a growing multi-location specialty group dedicated to clinical excellence and patient-centered care. As we have transitioned into expanded insurance participation, we are seeking an experienced RCM Manager to lead our revenue cycle strategy and execution. This role is responsible for overseeing all billing, collections, insurance, and patient account functions to maximize cash flow, reduce Insurance AR, and ensure clean financial operations across insurances.
- Do you take pride in spotting the details others might overlook-especially when it comes to identifying claim denials, payment variances, or billing errors?
- Are you someone who thrives in a structured, system-driven environment where your ability to streamline processes directly impacts the bottom line?
- Do you get satisfaction from ensuring every dollar owed is collected-down to the last cent-and can explain the "why" behind every variance on an aging report?
- Have you led or improved processes around benefits verification, pre-authorizations, or claim submissions that cut down A/R days or improved clean claim rates? If so, we want to hear how.
If these questions resonate with you, please complete the following survey so we can better learn more about your traits. This survey should take 4-minutes to complete.
Site: https://go.cultureindex.com/p/oIxg3W8E53qir4PnD
KEY RESPONSABILITIES:
Strategic Oversight
- Design and implement end-to-end revenue cycle workflows that support scalability and compliance.
Team Leadership
- Manage remote RCM team members.
- Hold team members accountable for completing insurance verifications and pre-determinations in a timely, accurate manner.
- Ensure all benefits are verified at least 48 hours prior to patient appointments, and pre-determinations are submitted with sufficient lead time to secure approvals before treatment.
- Facilitate collaboration with the front desk, treatment coordinators, and leadership teams.
Claims and Payer Relations
- Oversee accurate claim submission and timely follow-up to reduce rejections and denials.
- Lead efforts in resolving complex payer issues and underpayments.
- Monitor changes in payer policies and CDT coding, and ensure ongoing staff education and compliance.
Patient Financial Experience
- Ensure clarity and consistency in patient billing, statements, and financial communication.
- Collaborate with marketing and operations to educate patients on insurance participation and payment expectations.
Reporting and Financial Accuracy
- Deliver weekly RCM performance reports to executive leadership.
- Reconcile payments, refunds, adjustments, and write-offs to maintain accurate financials.
- Update code additions or changes correctly in CareStack.
QUALIFICATIONS:
- 5+ years of dental billing or revenue cycle experience (periodontal group experience highly preferred).
- Deep understanding of PPO insurance, out-of-network billing, and umbrella network participation.
- MUST HAVE experience with CareStack.
- Strong analytical, communication, and organizational skills.
Preferred Traits:
- Periodontal billing or revenue cycle management is strongly preferred.
- Proactive, data-driven contributor who thrives in a fast-paced environment.
- Holds team accountable with a focus on results and transparency.
Why Join ROOT?
- Help shape the future of a high-performing specialty dental group.
- Join a mission-driven organization that values innovation, excellence, and compassion.
- Work closely with executive leadership and clinical teams to drive impact and outcomes.
BENEFITS:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
SCHEDULE:
- Full-time, Monday to Friday 9AM - 5PM CTS
About ROOT Periodontal & Implant Center
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
11 - 50 Employees
Headquarters location
Carrollton, TX, US
Year founded
2013