Medical Billing Specialist – Revenue Integrity

🔥 31 minutes ago

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Alpaca Health

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2024

🏥 Healthcare

👥 B2C

Healthcare • B2C

Alpaca Health is a provider network that delivers personalized Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder and developmental delays. They connect families with local, independent clinicians (BCBAs and therapists) and offer flexible care models — in-home, in-clinic, in-school, in-daycare, in-community, and virtual sessions — designed to integrate into a family’s daily routine. Alpaca Health provides diagnostic support (including free online screening tools and ADOS-2 assessments for young children), accepts many major insurance plans and is in-network with 100+ payers across states such as Texas, Colorado, North Carolina, and Hawaii.

📋 Description

• Own follow-up workflows for stale, underpaid, and unpaid claims • Manage paper EOB intake, organization, and posting workflows • Perform check reconciliation and validate payment accuracy against remittance data • Investigate discrepancies between billed, paid, and expected reimbursement amounts • Coordinate with billing, credentialing, and operations teams to resolve revenue issues • Assist with payer communication via phone, portal, fax, and email

🎯 Requirements

• Bachelor’s degree or equivalent experience • Excellent attention to detail and organizational skills • Background in a call center or high-call volume roles • At least 3 years of experience in healthcare billing, collections, or revenue cycle management • Experience with US-based health insurance companies, commercial and government • Strong communication and problem-solving abilities • Proficient in MS Office and business systems • Ability to manage multiple tasks and meet deadlines

🏖️ Benefits

• 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.