USABilling Specialist
1 мес. назад
USAHybrid
ediclaims managementbillingcash flow management
Responsible for managing the end-to-end billing lifecycle including vendor relations, claim submission, and cash flow monitoring in a healthcare tech company.
Обязанности
- We’re looking for a Billing Specialist to own the end-to-end billing lifecycle across our DME, Telehealth, and Data verticals. This is not a back-office role - you are embedded in our cash-flow engine daily. You will manage vendor relationships, hunt down denials, and build the systems that make billing bulletproof at scale.
- You have high autonomy in order to build protocols from scratch based on proactive research. You thrive at the intersection of healthcare operations, claim strategy, and high velocity health tech M&A integration, this role is for you.
Другое
- is transforming one of the most outdated corners of post-acute care—getting essential medical equipment and supplies into patients’ homes. We’re the first vertically integrated, AI-powered platform to unite ordering, telehealth, prescriptions, insurance, and fulfillment into one seamless experience. In seconds, case managers and providers can say “yes” to patients who would otherwise wait weeks—while we handle every step behind the scenes.
- Own the Full Billing Lifecycle: Manage every stage from EDI payor enrollment and claim submission through remittance posting and patient collections. You are the last line of defense against billing blackouts.
- Drive Daily Cash Flow: Monitor A/R Aging, identify stalled claims, and proactively resolve payor edits, rejections, and denials before they age. Cash flow is your scoreboard.
- Manage EDI Infrastructure: Ensure EDI trading partner agreements are executed and tested before go-live dates
- Lead the Denial Management Program: Build and run a structured denial and appeals workflow with the help of RCM leadership. Track root-cause trends and implement upstream fixes, working in lockstep with outside vendors. Identify upstream issues related to auth, intake, or documentation to reduce denial rates month-over-month.
- Serve as a Vendor Liaison: Act as the primary point of contact for outsourced billing vendors and billing software partners, holding them accountable for SLA’s, submission quotas or timelines, and KPI’s assigned by Leadership.
- “In the Trenches” Experience: You have been in the Medical Billing trenches for the past few years and are interested in stepping into a management role. You’re ready to own the high-growth HealthTech DME environment, and you understand the intricacies of Medical Billing enough to help steer outsourced billers.
- Denial & A/R Ownership: You have a track record of measurably reducing A/R aging and denial rates, not just reporting on them. You’re a veteran of fixing the root cause of denials, and you’re ready to lead a team.
- Systems-First Mindset: You don’t just jump in when the team needs help, to work claims directly, you build workflows that prevent the same problem from surfacing twice. Automation and SOP’s are your default.
- Billing Fluency: You bring experience related to Durable Medical Equipment (DME) billing, and you have a solid understanding of how Telehealth fits into the DME picture. You know when a CMS submission requires deep refinement.
- Excellence, Not Perfection – We set a high bar for our work and impact, but we don’t get lost in endless polish for polish’s sake. We focus on results that matter.
- Urgency, Not Chaos – We move fast because speed drives our advantage. We pair urgency with clarity to avoid noise and burnout.
- Systems, Not One-Offs – Every solution should eliminate the root cause so the problem never returns. Wins are good; scalable systems are better.
- Committed, Not Just Here – We show up engaged, proactive, and ready to go above and beyond. It’s not about working 24/7—it’s about caring deeply and leaning into our shared mission. The outcomes you drive are what matter most.
- Crush Goals, Not Souls – We take our work seriously, but not ourselves. Be yourself, bring positivity, have fun, and laugh often. Compensation and Benefits Competitive salary with performance-based incentives. Hybrid model. Unlimited PTO + 9 company holidays. Direct mentorship from senior leadership. Equal Opportunity is an equal-opportunity employer. We celebrate diversity and are committed to building an inclusive environment for all employees. Location: New York City | Type: Full time | Hybrid | Department: Operations | Salary: 60k-90k