📌 About Alpaca HealthAlpaca Health enables clinicians to become entrepreneurs, starting in autism care.We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.This role is remote. We’re looking for candidates based outside of the United States, but able to work United States East Coast time zones.🚧 What You’ll DoWe are looking for a detail-oriented Billing Specialist to own pre-submission billing accuracy and ensure clean claims are submitted correctly the first time. This role focuses on resolving coding issues, identifying EHR and demographic inaccuracies, and preventing downstream denials and rework. Specifically, this role will:Review claims prior to submission to identify coding, demographic, and documentation issuesOwn pre-submission billing edits and claim scrubbing workflowsResolve coding-related issues including CPT modifiers, diagnosis mismatches, and authorization discrepanciesReview EHR data for demographic accuracy, insurance information, rendering provider setup, and payer requirementsIdentify and correct missing or inaccurate patient, provider, or authorization data before claims submissionCoordinate with clinical, intake, credentialing, and operations teams to resolve billing blockersMonitor clearinghouse rejections and ensure timely corrections and resubmissionsMaintain accurate billing records and claim documentationSupport process improvement initiatives to reduce preventable denials and increase clean claim ratesAssist with payer and clearinghouse communication via portal, fax, phone, and emailTrack recurring claim issues and escalate systemic problems proactively🧠 Who You AreBachelor’s degree or equivalent experienceExcellent attention to detail and organizational skillsAt least 2–3 years of experience in healthcare billing or revenue cycle operationsStrong understanding of medical billing workflows, claim submission, and coding fundamentalsExperience working with EHR systems, clearinghouses, and billing platformsFamiliarity with commercial and government insurance requirementsStrong communication and problem-solving abilitiesComfortable working cross-functionally with clinical and operational teamsProficient in MS Office and business systemsAbility to manage multiple priorities and meet deadlines in a fast-paced environment

Heads-up

Medical Billing Specialist (Claim Submission)

Emma

Requirements and responsibilities

Skills wanted:

Language(s) required:

Bao Van

Michael Gao

About Alpaca Health:

www.alpacahealth.io/

Admin access needed

Payment confirmed

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