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Posted 2 months ago

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Medical Billing Specialist (Revenue Integrity)

PhilippinesRemoteFull-time

AI Summary

A detail-oriented Revenue Integrity Specialist reduces Days in A/R by owning follow-up workflows for stale, underpaid, and unpaid claims, managing EOB intake and reconciliation, and coordinating with billing, credentialing, and operations teams.

About this role

馃搶 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鈥檙e looking for candidates based outside of the United States, but able to work United States East Coast time zones.

馃毀 What You鈥檒l 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

馃 Who You Are

  • Bachelor鈥檚 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

Skills

Business SystemsCommercial InsuranceEOBGovernment Insurance (Medicare/Medicaid)MS OfficePayer PortalsRevenue Cycle ManagementU.S. Health Insurance

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