Medical Billing Specialist (Revenue Integrity)

 Posted 2 months ago
     
2-5 years experience
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AI Summary

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.

📌 About Alpaca Health

Alpaca 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 Do

We are looking for a highly detail-oriented Revenue Integrity Specialist to reduce Days in A/R. Specifically, this role will:

  • 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

🧠 Who You Are

  • 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

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