Medical Biller & RCM Specialist

About AllCare.ai

AllCare.ai is transforming senior healthcare by delivering fully coordinated, in-facility care built around one shared care plan. We bring together in-facility providers — including primary care, psychiatry, podiatry, diagnostics, wound care, and chronic care management — alongside pharmacy services, all supported by a 24/7 medical concierge team to ensure seamless, high-quality care for residents.

At AllCare.ai, technology strengthens the connection between provider and patient. Our AI-powered platform automates charting, compliance, and predictive health alerts so providers can spend more time with patients and less time on administrative work. The result: smoother workflows, smarter decision-making, and stronger patient outcomes.

We currently serve Assisted Living Facilities across California and are expanding to new regions. Our mission is simple — to give healthcare providers the tools, support, and time they need to deliver exceptional care for seniors.

Role Overview

We’re seeking a Medical Biller & Workflow Specialist to own and optimize our provider billing operations. This role combines hands-on billing execution with the opportunity to build the workflows, codes, and best practices that power our remote billing team.

You’ll manage end-to-end billing for multiple provider types, ensure accurate reimbursement across payers, and develop scalable billing systems that align with AllCare’s growth.

Key Responsibilities

Billing Execution:

• Submit, track, and reconcile professional claims (CMS-1500) for Medicare and Medicaid.

• Manage full-cycle billing—charge entry, claims submission, payment posting, and appeals.
  
• Research and resolve denials, underpayments, and coding discrepancies.

Workflow Development & Process Improvement:

• Build and document billing workflows, coding templates, and SOPs for the broader billing team to follow.
  
  
• Standardize payer-specific processes and create training guides for remote billing staff.
  
  
• Identify opportunities for automation and efficiency across RCM processes.
  
  

Collaboration & Compliance:

• Partner with clinical and operations teams to align documentation with billing requirements.
  
  
• Maintain audit-ready documentation and ensure compliance with Medicare, Medicaid, and state regulations.
  
  
• Generate AR aging reports, reconciliation summaries, and performance dashboards.

Qualifications

• 3–5+ years of U.S. Professional Medical Billing, (settings strongly preferred: Primary Care, Psychiatry, and/or Podiatry)
  
  
• Proven expertise in Medicare/Medicaid and commercial payer billing.
  
  
• Strong understanding of provider billing workflows and EHR/billing systems (e.g., ECW, Epic, Cerner).
  
  
• Experience developing or improving billing processes and training others.
  
  
• Knowledge of California billing regulations and compliance standards.
  
  
• Excellent attention to detail, organization, and communication skills.
  
  
• AAPC certification (CPC, CPB, or equivalent) preferred.

What We Offer

• Compensation: $24-$30 based on experience
• Benefits: Medical, Dental, Vision, 401(k), Paid Time Off
• Career Growth: Advancement opportunities as we expand across California

Schedule

• Location: Irvine Office
• Schedule: Monday–Friday