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...