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 oper...