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.
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, portal, fax, and email
Support process improvement initiatives to reduce future denials and revenue leakage
Bachelor’s degree or equivalent experience
Excellent attention to detail and organizational skills
Background in a call center or high-call-volume operational role
At least 3 years of experience in healthcare billing, collections, denials, or revenue cycle management
Experience working with US-based commercial and government health insurance payers
Strong understanding of denials, rejections, EOBs, ERAs, and claims reprocessing workflows
Strong communication and problem-solving abilities
Comfortable handling payer calls and navigating payer portals
Proficient in MS Office, billing systems, and operational tools
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Live-code complex ophthalmology and retina visits, manage injectable drug claims and payment posting, audit documentation and denials, and coordinate coding workflows with the practice and its outsourced billing agency.
Handle incoming patient calls, coordinate appointments, process prior authorizations, and support daily medical office operations while maintaining accurate records and providing compassionate, confidential patient service.
Provide administrative support to healthcare professionals by maintaining patient records in EMR systems, responding to patient inquiries, coordinating appointments and follow-up care, and supporting accurate billing.
Manage dermatology billing from coding and claim audits through denial appeals and payer follow-up, using ModMed to resolve claims and support accurate, timely reimbursement.
Manage U.S. healthcare prior authorizations, incoming calls, and staff credential records while supporting insurance verification, billing, scheduling, and other healthcare administration.
