Billing SME - Product
Core
Billing SME ensuring AI-powered billing features deliver accurate, trustworthy outcomes for primary care practices by acting as the connective tissue between product teams and real-world billing workflows.
Role type
Senior IC billing subject matter expert (primary care revenue cycle management)
Builds
AI-powered billing capabilities (coding suggestions, Auto-Queue, Worklist, ERA/payment posting) for primary care EHR platform
Domain
Healthcare technology / Primary care revenue cycle management (RCM)
Deliverable
production ML models
Required skills
Primary care coding and RCM expertise, CPT/ICD-10 modifier rules, Practice management systems (AdvancedMD, Athena, Kareo), Commercial and government payer rules, Denial management, Claims workflows, Translating domain knowledge to product feedback, Cross-functional collaboration
Preferred skills
EHR workflows integration, Value-based care billing models (MSSP, CPC+), Certified Professional Coder (CPC), SaaS product experience, User testing or design partnership roles
Technologies
AdvancedMD, Athena, Kareo, GPT/Thor
Responsibilities
User zero testing of AI billing capabilities against real coding judgment, Defining success criteria for coding and billing outputs, Design partner for billing workflows, Liaison for customer and cross-functional billing escalations
Seniority
Senior, hands-on IC
