Alpaca Health

Prior Authorization Specialist

Alpaca Health · Full Time · 8 days ago

Alpaca Health

🌎 Philippines 💵 $1500 - $2000 per month ⭐ 5-10 yrs exp 💼 Others

Manage the end-to-end prior authorization process for complex ABA cases, specifically focusing on TRICARE and ECHO workflows. Coordinate communication between families, clinicians, and payers while identifying and implementing operational process improvements.

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Medical Billing Specialist (Denial Management)

Alpaca Health · Full Time · a month ago

Alpaca Health

🌎 Philippines ⭐ 2-5 yrs exp 💼 Data Entry

Manage the end-to-end workflow of insurance rejections and denials to improve net collection rates and payer turnaround times. Coordinate with clinical and operations teams to resolve revenue barriers and implement process improvements to reduce revenue leakage.

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Medical Billing Specialist (Claim Submission)

Alpaca Health · Full Time · a month ago

Alpaca Health

🌎 Philippines ⭐ 2-5 yrs exp 💼 Data Entry

The role focuses on ensuring pre-submission billing accuracy by resolving coding issues and correcting EHR demographic data to prevent claim denials. It involves monitoring clearinghouse rejections and coordinating with clinical and operations teams to streamline the billing workflow.

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Medical Billing Specialist (Revenue Integrity)

Alpaca Health · Full Time · a month ago

Alpaca Health

🌎 Philippines ⭐ 2-5 yrs exp 💼 Data Entry

The specialist will manage follow-up workflows for unpaid or underpaid claims and perform check reconciliation to ensure payment accuracy. They will also coordinate with internal teams and payers to resolve revenue discrepancies and reduce Days in A/R.

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Intake & Authorizations Manager

Alpaca Health · Full Time · a month ago

Alpaca Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

You will lead a team of 5-10 Care Navigators to manage the end-to-end intake process, ensuring families start care within 30 days. Additionally, you will serve as the internal expert on TRICARE authorizations and oversee BCBA matching to ensure clinical fit.

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Director of Referral Partnerships

Alpaca Health · Full Time · 2 months ago

Alpaca Health

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Director of Referral Partnerships will build and scale the patient growth engine by managing relationships with referral sources like pediatricians and schools. They are responsible for defining strategy, leading a field team, and designing scalable systems to ensure consistent patient flow.

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Director of Clinical Quality and Outcomes (BCBA-D Preferred)

Alpaca Health · Full Time · 2 months ago

Alpaca Health

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Director of Clinical Quality and Outcomes will define and operationalize clinical excellence standards across independent clinics using measurable frameworks and data-driven systems. They will partner with product and engineering teams to embed these standards into workflows while managing clinical performance and payer relationships.

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Director of Payer Ops and RCM

Alpaca Health · Full Time · 2 months ago

Alpaca Health

🌎 United States 💵 $160K - $200K per year ⭐ 10+ yrs exp 💼 Others

The Director of Payer Ops and RCM will own the company's revenue cycle strategy, overseeing collections, denial rates, and payer performance. They will also lead a high-performing team and partner with Product and Engineering to build scalable, automated revenue infrastructure.

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Software Engineer, Core Product (Contract)

Alpaca Health · Full Time · 3 months ago

Alpaca Health

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The engineer will build automation, tooling, and product workflows to replace manual operational processes like payroll validation, billing, and intake checks. Key ownership areas include building reconciliation and audit systems, automating complex workflows, developing patient cost disclosure systems, and implementing reliable AI-powered features.

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