Clarity RCM

• Design thoughtful, intuitive experiences across operational software, payments, analytics, and AI-powered workflows. • Help build and evolve a scalable design system that stays tightly aligned between design and implementation, leveraging AI-powered workflows to create a seamless connection between Figma and code (using Claude Code / relevant technologies) • Create polished user interfaces with strong attention to typography, spacing, hierarchy, consistency, and interaction details. • Define reusable components, patterns, and guidelines that improve both user experience and development velocity. • Partner closely with Product, Engineering, Operations, and Leadership to understand problems and identify the most effective solutions. • Participate in product strategy discussions, helping shape what gets built - not just how it looks. • Prototype ideas, explore concepts, and communicate product and design rationale clearly. • Ensure a high level of design quality through implementation by working directly with engineers. • Contribute to illustrations, visual assets, and broader product storytelling when appropriate.

Role Description Clarity RCM is a dermatology-focused revenue cycle management company on the Inc. 5000 fastest-growing companies list. We manage billing, credentialing, and account management for private dermatology practices nationwide. We're growing fast and we're building the team that grows with us. This role is for someone early in their RCM career who wants broad exposure to how a modern billing operation actually works. You'll touch client management, billing operations, denial resolution, and payer navigation. You'll own a small set of clients directly and support account managers on more complex accounts. The people who thrive here are the ones who find the problems before they're assigned them, ask good questions, and figure things out. Growth is real here. It's also earned, not given. What You'll Do - Client management - Own a defined set of client accounts: answer billing questions, monitor account health, flag issues, and keep clients informed. - Support senior account managers on larger, more complex practices: prepare summaries, track open items, and follow up on outstanding issues. - Communicate with practice managers and physicians clearly and professionally. They are not billing experts. You are. - Billing operations - Research and resolve claim statuses across major payers, understanding why a claim was denied and what the correct path forward is. - Monitor AR aging reports and flag patterns: slow payers, recurring denial codes, revenue getting stuck. - Review EOBs and ERAs, identify discrepancies, and work with the billing team to resolve them. - Navigate practice management systems. We work primarily in ModMed, EZDERM, Nextech, DrChrono, and eCW. - Contributing to a growing operation - Bring ideas. If you see something broken or inefficient, say so. We want people who notice things. - Use AI tools actively. We're a team that looks for smarter ways to work and we want people who are already wired that way. - Learn the business by doing it. There's no formal curriculum. The exposure is built into the work itself. Qualifications - 1-2 years of medical billing experience. - Understanding of how claims flow, common denial codes, and how to navigate a payer portal. Dermatology experience is a plus, not a requirement. - Self-starter who tolerates ambiguity well. - AI-native; uses AI tools in work or is actively curious about how they can improve efficiency. - Clear communicator who remains professional under pressure. - Willingness to contribute rather than just be developed. Requirements - Fast-growing company environment; ability to make progress without perfect instructions. - Calm demeanor when dealing with frustrated clients; ability to provide straight answers and follow through. Benefits - Remote, full-time position. - $55,000 - $60,000 base salary. - 90% employer-covered health, dental, and vision. - Real exposure to all elements of a scaling RCM operation. - A team that moves fast and rewards people who do the same.

About Clarity RCM 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.