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Salary: USD 60,000 - 90,000 / annual
Conduit Health is a vertically integrated, AI-powered platform transforming post-acute care by uniting ordering, telehealth, prescriptions, insurance, and fulfillment for durable medical equipment (DME) delivery. The Billing Specialist will own the end-to-end billing lifecycle across DME, Telehealth, and Data verticals, serving as a critical part of the company's cash-flow engine.
Key responsibilities include managing the full billing lifecycle from EDI payor enrollment and claim submission through remittance posting and patient collections. You will monitor accounts receivable aging, identify and resolve stalled claims, payor edits, rejections, and denials before they age. The role requires managing EDI infrastructure, ensuring trading partner agreements are executed and tested before go-live dates.
You will lead the denial management program, building and running a structured denial and appeals workflow in collaboration with RCM leadership. This includes tracking root-cause trends, implementing upstream fixes, and identifying issues related to authorization, intake, or documentation to reduce denial rates month-over-month. You'll serve as the primary vendor liaison for outsourced billing vendors and billing software partners, holding them accountable for SLAs, submission quotas, timelines, and KPIs.
The ideal candidate has several years of hands-on medical billing experience and is ready to step into a management-track role. You should have a proven track record of measurably reducing A/R aging and denial rates, not just reporting on them. A systems-first mindset is essential—you build workflows and standard operating procedures that prevent recurring problems rather than jumping in to fix issues reactively. You bring solid billing fluency, particularly with DME billing and telehealth integration, and understand CMS submission requirements.
Conduit Health values excellence over perfection, urgency paired with clarity, systems-based solutions over one-offs, genuine commitment, and maintaining work-life balance while delivering results. The company offers competitive salary with performance-based incentives, hybrid work arrangement, unlimited PTO, 9 company holidays, and direct mentorship from senior leadership.
