Medical Billing Specialist (Denial Management)

📌 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

Own rejections, denials, and denied claims workflows from identification through resolution

Monitor ERA activity daily and perform same-day touches on denials and rejections

Drive improvements in Net Collection Rate and payer turnaround times

Manage reprocessing timelines and ensure timely resubmission of corrected claims

Investigate root causes of denials and coordinate corrective actions across teams

Work denied, underpaid, and unpaid claims through payer portals, calls, and written appeals

Track trends in denials by payer, authorization, coding, documentation, or eligibility issues

Coordinate with billing, credentialing, clinical, and operations teams to resolve revenue barriers

Maintain accurate denial tracking, follow-up notes, and resolution documentation

Escalate high-risk or aging denials proactively

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

Support process improvement initiatives to reduce future denials and revenue leakage

🧠 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 operational role

At least 3 years of experience in healthcare billing, collections, denials, or revenue cycle management

Experience working with US-based commercial and government health insurance payers

Strong understanding of denials, rejections, EOBs, ERAs, and claims reprocessing workflows

Strong communication and problem-solving abilities

Comfortable handling payer calls and navigating payer portals

Proficient in MS Office, billing systems, and operational tools

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