Medical Billing & Eligibility Specialist (6 Month Contract)
About The Position
Fabric is looking for a detail-oriented and tech-forward Medical Billing & Eligibility Specialist for a 6-month contract. In this role, you will provide professional services for eligibility and patient payment set-up while managing the end-to-end claims lifecycle for our Virtual Provider Network. You will act as a subject matter expert to help our engineering and product teams refine our healthcare billing technology. Your mission is to ensure maximum reimbursement for providers and a positive patient experience with payment, all while maintaining strict compliance with the latest 2026 healthcare regulations.
Requirements
- Hold an active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification (highly preferred).
- Possess 3+ years of experience in medical billing, specifically within a high-volume environment or a HealthTech startup.
- Demonstrate proficiency working with Stedi or similar Real-Time Eligibility (RTE) vendors and the ability to interpret the resulting data.
- Maintain a high level of data literacy with a proven ability to use spreadsheets (Excel/Google Sheets) and visualization tools to track performance.
- Exhibit outstanding verbal and written communication skills, particularly the ability to translate billing logic for non-technical stakeholders.
Responsibilities
- Eligibility & Co-Pay Configuration: Collaborate closely with Professional Services to configure payer eligibility within our virtual care platform; analyze 271 data to establish dynamic co-pay logic and monitor accuracy post-launch.
- Claims Management: Review clinical documentation to ensure the accurate assignment of medical codes and oversee the submission of clean claims to commercial and government payers.
- Denial & Appeals Oversight: Analyze rejection patterns to identify root causes; draft and submit high-quality appeals to overturn denied claims on behalf of the Virtual Care Medical Group.
- Payment Posting: Accurately post payments from ERAs (Electronic Remittance Advice) and EOBs (Explanation of Benefits), meticulously reconciling all discrepancies.
- Finance Support: Interface with Fabric finance teams as needed to answer specific questions regarding incoming revenue from payers and details related to claims submission.
- Product Feedback Loop: Act as a "power user" of our platform, providing the Product team with technical feedback on workflow bottlenecks, insurance data structures, and UI/UX improvements.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
101-250 employees
