About Fabric

Fabric is a health tech company that powers healthcare providers to move faster, work smarter, and deliver better care through its care enablement system. The system offers three solutions: In-Person Care Suite, Virtual Care Suite, and Engagement Suite. Leveraging conversational AI and intelligent adaptive interviews, Fabric unifies virtual and in-person care across intake, triage, routing, and treatment while automating workflows for staff. Built by a team of physicians and clinical informaticists, Fabric protocols uphold excellence in care quality while offering omnichannel access for patients. The results enable clinicians to work 2-10 times faster (dependent on setting), decrease call center volume by 15%, and increase utilization of unfilled visit blocks. Some of Fabric’s customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain. Fabric is backed by Thrive Capital, GV (Google Ventures), Salesforce Ventures,Vast Ventures, BoxGroup, and Atento Capital.

About the role

Fabric Health is currently hiring a remote (US-based) Telehealth Billing & Claims Analyst.

What you'll do

• Collaborate closely with members of the operations team, inter-departmental teams, external vendors, clients, and managerial staff.
• Evaluate claims and billing processes, anticipate requirements, identify areas for improvement, and develop and implement optimization strategies.
• Stay informed about the latest processes and medical billing guidelines to identify necessary claim edits, fee schedule adjustments, and systematic changes for implementation.
• Interpret and assess denials and appeals, including following up with payers to ensure timely resolution of claims and reimbursement as needed.
• Remain updated on regulatory and specific changes related to Telehealth billing requirements and payer-specific follow-ups.
• Act as a liaison with external billing company regarding claims submission, reconciliation, and denials.
• Provide future assistance with claims submission, denials, appeals, and claim reconciliation as the program grows.
• Prepares and distributes status updates to stakeholders for accurate and timely updating of internal and external platforms.
• Exercise independent judgment in daily activities.

Qualifications (Required)

• High school diploma or equivalent.
• Medical billing and/or coding certificate.
• At least 1 year of experience in patient accounting, accounts receivable, and/or a related healthcare field.
• Knowledge of medical terminology and CPT coding.

Qualifications (Preferred)

• Experience with physician group claims follow-up, researching claim denials, and preparing/writing appeals to secure claims payment.
• Detailed working knowledge and demonstrated proficiency in billing and collection processes for multiple payers, including governmental and non-governmental entities.
• Experience in Telehealth billing and coding.