Medical Billing Specialist (U.S. Operations) (old)

About AllCare.ai

AllCare 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 — alongside pharmacy services, all supported by a 24/7 medical concierge team to ensure seamless, high-quality care for residents.

Prior experience working within the U.S. healthcare system and its billing practices is required for this role.

Your Role
Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings. You’ll be the backbone of our revenue cycle, directly impacting financial health while working with cutting-edge billing technology. This role is ideal for someone who has hands-on experience with U.S. healthcare billing workflows and is comfortable navigating Medicare/Medicaid and private payers.

Key Responsibilities

• Claims Processing: Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements.
• Denial Management: Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT).
• Documentation Support: Collaborate with clinical teams to ensure service documentation aligns with billing compliance.
• Patient Billing: Generate statements, process payments, and address patient inquiries.
• Reporting: Assist in generating AR aging reports and reconciliation audits.

Requirements

• Must be available to work Pacific Time (California) hours, Monday–Friday.
• Minimum 2+ years of medical billing experience within the U.S. healthcare system (senior care settings strongly preferred: ALFs, Hospice, RCFEs).
• Proficiency in U.S. Medicare/Medicaid billing rules and EHR systems (e.g., Epic, Cerner).
• Experience with U.S.-based payers and reimbursement processes is mandatory.
• Knowledge of California-specific billing regulations is a strong plus.
• Strong attention to detail and problem-solving skills.
• High school diploma required; AAPC certification (e.g., CPC, CPB) is a plus.

What We Offer

• Compensation: $500 base salary, plus up to 20% monthly performance bonus.
• Fully remote working opportunity.
• Competitive compensation.
• Comprehensive medical insurance.
• Generous paid time off (PTO).
• Ongoing training in AllCare’s tech-enabled billing platforms.
• Leadership development pathways.