📌 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 DoOwn rejections, denials, and denied claims workflows from identification through resolutionMonitor ERA activity daily and perform same-day touches on denials and rejectionsDrive improvements in Net Collection Rate and payer turnaround timesManage reprocessing timelines and ensure timely resubmission of corrected claimsInvestigate root causes of denials and coordinate corrective actions across teamsWork denied, underpaid, and unpaid claims through payer portals, calls, and written appealsTrack trends in denials by payer, authorization, coding, documentation, or eligibility issuesCoordinate with billing, credentialing, clinical, and operations teams to resolve revenue barriersMaintain accurate denial tracking, follow-up notes, and resolution documentationEscalate high-risk or aging denials proactivelyAssist with payer communication via phone, portal, fax, and emailSupport process improvement initiatives to reduce future denials and revenue leakage🧠 Who You AreBachelor’s degree or equivalent experienceExcellent attention to detail and organizational skillsBackground in a call center or high-call-volume operational roleAt least 3 years of experience in healthcare billing, collections, denials, or revenue cycle managementExperience working with US-based commercial and government health insurance payersStrong understanding of denials, rejections, EOBs, ERAs, and claims reprocessing workflowsStrong communication and problem-solving abilitiesComfortable handling payer calls and navigating payer portalsProficient in MS Office, billing systems, and operational toolsAbility to manage multiple priorities and meet deadlines in a fast-paced environment

Heads-up

Medical Billing Specialist (Denial Management)

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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