Medical Billing & Eligibility Specialist (6 Month Contract)

Fabric

Fabric

This job is no longer accepting applications

See open jobs at Fabric.See open jobs similar to "Medical Billing & Eligibility Specialist (6 Month Contract)" General Catalyst.

Remote

USD 30-45 / hour

Posted on Jan 14, 2026
Medical Billing & Eligibility Specialist (6 Month Contract)
Remote
Customer Operations
Remote
Contract

About Fabric Health

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.
We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.

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.
At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.
Note: Applicants must be currently authorized to work in the United States without the need for current or future visa sponsorship.
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Req ID: SMS2603

This job is no longer accepting applications

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