Remote job
Support Subject Matter Expert, Elation Billing
Job details
About this role
Role overview
Handle complex medical billing and revenue cycle cases that require practical judgment beyond scripted support. This is a frontline role in a live support queue: you will investigate each practice’s billing context, resolve difficult issues, and help the wider support team recognize patterns and improve its guidance.
Responsibilities
- Own escalated cases involving claims workflows, coding logic, payer decisions and denials, accounts receivable, and collections. - Help support specialists investigate cases that require deeper billing expertise, including through collaborative case reviews. - Assess a practice’s payment model, staffing, and existing processes to distinguish software defects from configuration or workflow problems. - Share recurring edge cases, payer trends, and denial patterns with product and engineering partners. - Maintain billing guidance, procedures, and response templates; help improve automated case suggestions with practical billing context. - Track case quality and resolution patterns, flagging recurring root causes and helping colleagues build their revenue cycle knowledge.
Requirements
- At least three years of hands-on medical billing or revenue cycle experience, including claims submission, payer follow-up, denial management, and accounts receivable. - Working knowledge of CPT and ICD-10 coding logic, claims adjudication, and payer rules for commercial and government plans. - Experience with an EHR, practice management, or medical billing platform. - Clear written and verbal communication, including the ability to explain complex billing issues to practices and colleagues. - Comfort working directly in a live case queue, with the judgment to go beyond scripted troubleshooting when needed. - Self-directed, detail-oriented approach to investigating and resolving cases.
Nice to have
- CPB, CRCR, or CHFP certification, completed or in progress. - Experience supporting independent primary care or small-group practices, or working in SaaS or EHR support, customer success, or implementation. - Exposure to AI-assisted support tools or process improvement methods such as Lean or Six Sigma.