Medical Billing Specialist (U.S. Operations)
About The Position
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.
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.
- Strong attention to detail and problem-solving skills.
- High school diploma required.
Nice To Haves
- Knowledge of California-specific billing regulations is a strong plus.
- AAPC certification (e.g., CPC, CPB) is a plus.
Responsibilities
- Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements.
- Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT).
- Collaborate with clinical teams to ensure service documentation aligns with billing compliance.
- Generate statements, process payments, and address patient inquiries.
- Assist in generating AR aging reports and reconciliation audits.
Benefits
- Competitive compensation.
- Comprehensive medical insurance.
- Generous paid time off (PTO).
- Ongoing training in AllCare’s tech-enabled billing platforms.
- Leadership development pathways.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
