Medical Billing Specialist (Claim Submission)

📌 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 detail-oriented Billing Specialist to own pre-submission billing accuracy and ensure clean claims are submitted correctly the first time. This role focuses on resolving coding issues, identifying EHR and demographic inaccuracies, and preventing downstream denials and rework. Specifically, this role will:

Review claims prior to submission to identify coding, demographic, and documentation issues

Own pre-submission billing edits and claim scrubbing workflows

Resolve coding-related issues including CPT modifiers, diagnosis mismatches, and authorization discrepancies

Review EHR data for demographic accuracy, insurance information, rendering provider setup, and payer requirements

Identify and correct missing or inaccurate patient, provider, or authorization data before claims submission

Coordinate with clinical, intake, credentialing, and operations teams to resolve billing blockers

Monitor clearinghouse rejections and ensure timely corrections and resubmissions

Maintain accurate billing records and claim documentation

Support process improvement initiatives to reduce preventable denials and increase clean claim rates

Assist with payer and clearinghouse communication via portal, fax, phone, and email

Track recurring claim issues and escalate systemic problems proactively

🧠 Who You Are

Bachelor’s degree or equivalent experience

Excellent attention to detail and organizational skills

At least 2–3 years of experience in healthcare billing or revenue cycle operations

Strong understanding of medical billing workflows, claim submission, and coding fundamentals

Experience working with EHR systems, clearinghouses, and billing platforms

Familiarity with commercial and government insurance requirements

Strong communication and problem-solving abilities

Comfortable working cross-functionally with clinical and operational teams

Proficient in MS Office and business systems

Ability to manage multiple priorities and meet deadlines in a fast-paced environment