Medical Billing Specialist – U.S. Operations

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Jesica.ai

WebsiteLinkedInAll Job Openings

1 - 10 employees

🤖 Artificial Intelligence

🎯 Recruiter

👥 HR Tech

Artificial Intelligence • Recruitment • HR Tech

Jesica. ai is an AI-driven recruiting agent that simplifies the hiring process by sourcing, screening, and identifying top candidates for various roles. It provides an automated system that conducts technical video interviews with real-time skill assessments and scores candidates based on their skills and cultural fit. This innovative platform is designed to help companies, from next-gen startups to established enterprises, navigate the challenges of traditional hiring methods and streamline their talent acquisition workflow effectively and efficiently.

📋 Description

• Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings. • Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements. • Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT). • Collaborate with clinical teams to ensure service documentation aligns with billing compliance. • Generate statements, process payments, and address patient inquiries. • Assist in generating AR aging reports and reconciliation audits.

🎯 Requirements

• Must be available to work Pacific Time (California) hours, Monday–Friday. • Minimum 2+ years of medical billing experience within the U.S. healthcare system (senior care settings strongly preferred: ALFs, Hospice, RCFEs). • Proficiency in U.S. Medicare/Medicaid billing rules and EHR systems (e.g., Epic, Cerner). • Experience with U.S.-based payers and reimbursement processes is mandatory. • Knowledge of California-specific billing regulations is a strong plus. • Strong attention to detail and problem-solving skills. • High school diploma required; AAPC certification (e.g., CPC, CPB) is a plus.

🏖️ Benefits

• Fully remote working opportunity. • Competitive compensation. • Comprehensive medical insurance. • Generous paid time off (PTO). • Ongoing training in AllCare’s tech-enabled billing platforms. • Leadership development pathways.