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Medical Billing & Eligibility Specialist (6 Month Contract) (Copy) at Fabric

About the Role

Fabric is looking for a detail-oriented and tech-forward Medical Billing & Eligibility Specialist for a 6-month contract. In this role, you will provide professional services for eligibility and patient payment set-up while managing the end-to-end claims lifecycle for our Virtual Provider Network.

You will act as a subject matter expert to help our engineering and product teams refine our healthcare billing technology. Your mission is to ensure maximum reimbursement for providers and a positive patient experience with payment, all while maintaining strict compliance with the latest 2026 healthcare regulations.

What You'll Do

As a Medical Billing & Eligibility Specialist, you will manage the intersection of financial operations and product refinement. Your primary responsibilities will include:

Eligibility & Co-Pay Configuration: Collaborate closely with Professional Services to configure payer eligibility within our virtual care platform; analyze 271 data to establish dynamic co-pay logic and monitor accuracy post-launch.
Claims Management: Review clinical documentation to ensure the accurate assignment of medical codes and oversee the submission of clean claims to commercial and government payers.
Denial & Appeals Oversight: Analyze rejection patterns to identify root causes; draft and submit high-quality appeals to overturn denied claims on behalf of the Virtual Care Medical Group.
Payment Posting: Accurately post payments from ERAs (Electronic Remittance Advice) and EOBs (Explanation of Benefits), meticulously reconciling all discrepancies.
Finance Support: Interface with Fabric finance teams as needed to answer specific questions regarding incoming revenue from payers and details related to claims submission.
Product Feedback Loop: Act as a "power user" of our platform, providing the Product team with technical feedback on workflow bottlenecks, insurance data structures, and UI/UX improvements.

Why You Might Be a Good Fit

You are a meticulous record-keeper who enjoys solving the "why" behind a claim denial rather than just processing a fix.
You are tech-forward and excited by the opportunity to influence how billing software is built and optimized.
You possess a high degree of accountability and thrive in a fast-paced environment where processes and software tools evolve frequently.
You are an effective communicator who can translate complex billing jargon into clear feedback for developers or finance teams.

This Might Not Be The Right Fit If...

You prefer a static, traditional office environment; this is a remote-first "tech" setting.
You find data analysis or troubleshooting eligibility logic tedious.
You are looking for a role strictly focused on data entry rather than systems improvement and cross-functional support.
You are uncomfortable with the "logic-based" thinking required to configure dynamic insurance rules.

Job Requirements

Hold an active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification (highly preferred).
Possess 3+ years of experience in medical billing, specifically within a high-volume environment or a HealthTech startup.
Demonstrate proficiency working with Stedi or similar Real-Time Eligibility (RTE) vendors and the ability to interpret the resulting data.
Maintain a high level of data literacy with a proven ability to use spreadsheets (Excel/Google Sheets) and visualization tools to track performance.
Exhibit outstanding verbal and written communication skills, particularly the ability to translate billing logic for non-technical stakeholders.

The national pay range for this role is $30.00 – $45.00 per hour, with a maximum of 20 hours per week. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Expected compensation ranges for this role may change over time.

Medical Billing & Eligibility Specialist (6 Month Contract) (Copy) at Fabric – New York

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