Billing Associate – AI Quality

Job Description:

  • Monitor call and payer portal results & AI performance
  • Review AI outbound insurance call and payor portal outcomes for quality, accuracy, and completeness.
  • Help establish and refine benchmarks for AI performance.
  • Flag call and workflow issues that need resolution.
  • Assist with new insurance setups, IVR navigation, and maintain accurate insurance information for each customer.
  • Map customer insurance names to the correct payer phone numbers and identifiers.
  • Identify and surface trends or performance issues related to specific payers.
  • Run manual calls to insurance companies (claim status, appeals, benefits & eligibility) when needed.
  • Help develop and refine “backup” processes to ensure continuity when AI systems fail or require escalation.
  • Provide practical feedback on potential new products and features, including:
  • Payor portal automation
  • EOB retrieval
  • Payment posting
  • Additional call types (benefits verification & eligibility)
  • Action agents (appeals, reprocessing, resubmissions)
  • Share insights from real-world payer interactions to help improve our AI agents.

Requirements:

  • 2+ years of experience in RCM billing, AR follow-up, or outbound payer calls.
  • Strong understanding of AR scenarios and claim lifecycle (claim status checks, basic denials, appeals, and follow-up).
  • Experience with medical, dental, and DME claims.
  • Comfortable speaking with insurance representatives and navigating phone trees/IVRs.
  • Detail-oriented, organized, and reliable in documentation and follow-through.
  • Ability to work US hours (9am–5pm ET) to collaborate with our team and customers.
  • Comfortable working in a fast-paced, evolving environment where processes and priorities can change.
  • Curiosity and willingness to learn more complex AR scenarios over time.

Benefits:

  • Competitive compensation with eligibility for a bonus on anniversary date.
  • Paid sick days and vacation days.
  • Top health insurance coverage at no cost to you (no deductible and no copay), with coverage extending to family members.
  • Meal stipends.
  • Opportunity to grow with a rapidly scaling company and be an early member of a global billing team, as we expand our billing team in India.
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