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Medical Billing Specialist (Revenue Integrity)

Role overview

Qualifications

  • Bachelor’s degree or equivalent experience
  • Excellent attention to detail and organizational skills
  • At least 3 years of experience in healthcare billing, collections, or revenue cycle management
  • Experience with US-based health insurance companies, commercial and government

Responsibilities

  • 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

Key facts

Other skills

  • Collections
  • Detail Oriented
  • Organizational Skills
  • Problem Solving
  • Communication
  • Microsoft Office
  • Time Management

About the company

Alpaca Health logo

Alpaca Health

Hospitals & Health Care

ABA should be led by those who know it best—clinicians. Alpaca Health empowers BCBAs to own, operate, and grow independent practices without the administrative burden. We provide: (1) All-in-one technology for scheduling, data collection, and intake (2) Done-for-you admin including insurance credentialing, benefits verification, and prior authorizations (3) Access to insurance contracts so you can get credentialed in weeks, not months (4) Guaranteed two-week payouts & audit protection to keep your revenue flowing smoothly Independence doesn’t mean doing it alone. We take the weight off your shoulders—so you can focus on care, not paperwork. Join a growing community of clinician-owned ABA practices.

Company details

IndustryHospitals & Health Care
Company size2 - 10

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Job description

📌 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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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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