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Billing SME - Product

Elation Health

Ort
Distans (CA)
Arbetsplats
Distans
Anställningsform
Heltid
Publicerat
2 dagar sedan
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Jobicy
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Elation is building the technology platform that powers the new era of primary care. Our Clinical-First® EHR is beloved by physicians and is enabling the transition to value-based care. We're a mission-driven team committed to empowering independent primary care physicians and improving the quality of care for patients. We're looking for a Billing SME to join Elation's Billing Team’s and accelerate our AI-powered billing capabilities. As AI takes on more of the revenue cycle, this role will serve as the billing expert who ensures our AI features deliver accurate, trustworthy billing outcomes that practices can rely on. You'll be the connective tissue between our product team and the real world of primary care billing — bringing hands-on RCM expertise to help us build AI that billing professionals actually trust. Why This Role Exists Accelerate Agentic Billing velocity. Your hands-on primary care coding and RCM expertise (e.g., AdvancedMD, Athena, or similar billing solutions) lets our team iterate on AI billing features with fast, credible domain feedback instead of waiting on live-customer validation for every coding or claims decision. Manage billing risk and trust as AI takes on more of the revenue cycle. Coding and billing correctness carries real financial and compliance consequences — denials, CPT/ICD accuracy, payer rules. As AI authorship of billing decisions grows, you'll evaluate and safeguard accuracy and practice trust. You're the billing analog to the clinical-safety role our Clinical SMEs play for clinical AI. What You'll Do User Zero Testing — Feedback & Insight Test new AI billing capabilities (coding suggestions, Auto-Queue, Worklist, ERA/payment posting) before wider release, evaluating them against real coding and billing judgment. You'll be the first eyes on every billing feature, providing the credible feedback that shapes the product. Front-line Context & Grounding Bring firsthand experience of how competitor and adjacent billing systems handle the same workflows, so our billing teams build with the broader RCM landscape in view — not just Elation's current implementation. Help us understand what "best in class" looks like. Billing Evaluation & Success Criteria Define what "correct" means for coding and billing outputs — a billing-specific subset of user success criteria — and pressure-test AI-generated billing outputs before they reach practices. Your judgment protects practices from billing mistakes. Design Partner Sit alongside Product Design as a billing co-designer, providing billing and coding context and success criteria directly into the design process. Help architect workflows for process excellence by providing a high-level view of industry standards and differentiators. Customer Partner & Key Contributor Support Work with Product to act as the connective tissue between both billing teams and: - Customer and design-partner practices piloting Agentic Billing, translating their real billing language and pain points into product-usable input - Internal key contributors — Enablement, Marketing, Sales, CSMs, Engagement Advisors, Support, other SMEs — who today escalate billing questions ad hoc and need a defined path to expertise What Success Looks Like - Requirements: Billing and coding requirements for billing teams features carry your direct input — written into the requirements themselves, not layered on as post-hoc review - Contributes to customer-facing and design groups: Work with Product and Design to execute discovery and design sessions with design-partner practices and cross-functional design reviews, on a standing cadence - PM/PD-aligned: Your requirements and customer synthesis feed straight into product management's prioritization, design, and roadmap calls - Standup presence: Show up regularly in CSM/Support stand-ups, so billing escalations get triaged directly rather than bouncing through ad hoc Slack DMs You'll Wear Two Hats Billing Co-Designer — Bring primary-care coding and RCM expertise into the design process the way Clinical SMEs bring clinical expertise: defining billing success criteria, front-line grounding, and user-zero testing. Customer & Cross-Functional Liaison — Be the person Engagement Advisors, Support, and other SMEs escalate billing questions to, and who works directly with customer and design-partner accounts to turn real billing language into input GPT/Thor can act on. What You'll Bring Required: - 3+ years of hands-on primary care billing and coding experience in a physician practice setting - Deep familiarity with CPT, ICD-10, and modifier rules for primary care - Experience with practice management and billing systems (e.g., AdvancedMD, Athena, Kareo, or similar platforms) - Working knowledge of commercial and government payer rules, denial management, and claims workflows - Ability to translate billing domain knowledge into clear, actionable product feedback - Comfortable collaborating cross-functionally with Product, Design, Engineering, and Customer Success teams - Strong written and verbal communication skills Nice to Have: - Experience with EHR workflows and how billing intersects with clinical documentation - Familiarity with value-based care billing models (MSSP, CPC+, direct contracting) - Certified Professional Coder (CPC) or similar certification - Experience in a SaaS, product, or technology-forward healthcare company - Previous involvement in user testing, product feedback, or design partnership roles What This Role Is Not - Not a roadmap or prioritization owner — Billing teams retain those decisions - Not a gate that blocks releases — You provide feedback to teams, not directives - Not a substitute for user research — You support and accelerate it, you don't replace it Salary: $ Elation welcomes individuals from all backgrounds and walks of life. Elation is proud to be an Equal Opportunity Employer and is dedicated to creating and maintaining a diverse and inclusive work environment. We are committed to equal opportunity for all employees and applicants, and value individuals with diverse perspectives including, but not limited to: race, color, religion, sex, sexual orientation, socioeconomic status, age, gender identity or gender expression, national origin, disability or veteran status. Elation also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. We firmly believe a strong culture that supports a diverse and inclusive workforce allows us to achieve Elation’s mission of helping independent primary care thrive.

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