Medical Billing Analyst

About the Role

We are looking for a tech-forward Medical Billing Analyst for a part-time contract position. Reporting directly to the VP of Customer Success, you will serve as the primary investigator for our billing and insurance data. Your mission is to ensure that our platform’s financial logic is flawless, providing a seamless experience for our customers and high-fidelity data for our Finance team. In this role, you aren't managing the department; you are auditing the "pipes." You will dive into raw data streams to find logic errors, investigate specific claim rejections, and identify the technical root causes behind billing friction. You are the operational bridge that ensures our technology translates medical necessity into clean, actionable financial data.

What You'll Do

As a Medical Billing Analyst, you will lead the technical audit and data investigation of our billing lifecycle. Your primary responsibilities will include:

• Data Investigation & Root Cause Analysis: Perform deep-dive audits of rejected or stalled claims to identify technical or logic-based reasons for non-payment.
• Eligibility Logic Auditing: Review raw 271/837 EDI data from vendors (like Stedi) to verify that the platform is accurately interpreting insurance responses and establishing correct patient co-pays.
• Finance Support & Reconciliation: Support the Finance team by investigating discrepancies between platform revenue data and actual ERA/EOB remittance, ensuring every dollar is accounted for.
• Customer Success Advocacy: Identify and resolve systemic billing errors that create friction for our customers, ensuring that patient financial responsibility is calculated correctly at the point of care.
• Technical Feedback Loop: Act as a "Power User" for the Product and Engineering teams, documenting specific software bottlenecks or UI/UX flaws that lead to administrative errors.
• Performance Reporting: Build and maintain specific data views in Excel or Google Sheets to track "Clean Claim" rates, denial trends by payer, and eligibility accuracy metrics.

Why You Might Be a Good Fit

• You are a natural investigator who finds professional satisfaction in uncovering the specific logic error that is causing a batch of claims to stall.
• You are exceptionally clear in your communication, able to translate complex "billing-speak" into simple, actionable insights for Finance or Customer Success leadership.
• You are tech-forward and enjoy working in an environment where the software is proprietary and evolves based on your feedback.
• You are highly self-directed and capable of managing a part-time contract schedule with extreme attention to detail and precision.

This Might Not Be The Right Fit If...

• You are seeking a leadership or people-management role; this is an individual contributor analyst position.
• You prefer a role with repetitive, manual data entry; this position is focused on high-level data investigation and systems improvement.
• You are uncomfortable looking at raw data files (EDI) or troubleshooting technical vendor outputs.

Job Requirements

• Hold an active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification.
• 2+ years of experience specifically in medical billing analysis or billing systems auditing, ideally within a high-volume HealthTech environment.
• Proven ability to interpret raw EDI data (271/837) and work with Real-Time Eligibility (RTE) vendors like Stedi.
• Advanced proficiency in Excel or Google Sheets, with the ability to manipulate large datasets to identify financial trends.
• Excellent communication skills, specifically the ability to collaborate cross-functionally with Finance and Customer Success departments.
• Please note that all professional certifications and prior employment history are subject to rigorous primary source verification.

The national pay range for this role is $20.00 – $25.00 per hour, with a maximum of 20 hours per week. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Expected compensation ranges for this role may change over time. Apply tot his job Apply To this Job