Billing SME - Product

Elation Health, Inc.

United States

Remote

USD 110,000 - 160,000

Full time

42 hours ago
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Job summary

Elation Health, Inc. is seeking a Billing SME to join our Billing Team and accelerate AI-powered billing capabilities. You will serve as the billing expert ensuring AI features deliver accurate, trustworthy outcomes for primary care practices.

You’ll bridge product and real-world billing, bringing hands-on RCM experience to help us build AI that billing professionals trust. You will test, ground, and define success criteria for AI-enabled workflows and partner with design and product teams to

Qualifications

  • Hands-on primary care coding and RCM expertise.
  • Experience with AI-enabled billingfeatures is a plus.
  • Understanding of payer rules and denials management.

Responsibilities

  • User Zero Testing: validate AI billing features with real coding decisions.
  • Grounding: compare with competitor systems to define best-in-class workflows.
  • Define correct billing outputs and success criteria for AI results.
  • Partner with Design: provide billing context to design process and criteria.
  • Support customers: liaise with product teams to translate billing needs.

Skills

RCM expertise
CPT/ICD accuracy
payer rules

Tools

AdvancedMD
Athena

Job description

Elation is building the technology platform that powers the new era of primary care. Our Clinical-First® EHR is beloved by physicians and is enabling the transition to value-based care. We're a mission-driven team committed to empowering independent primary care physicians and improving the quality of care for patients.

We're looking for a Billing SME to join Elation's Billing Team’s and accelerate our AI-powered billing capabilities. As AI takes on more of the revenue cycle, this role will serve as the billing expert who ensures our AI features deliver accurate, trustworthy billing outcomes that practices can rely on.

You’ll be the connective tissue between our product team and the real world of primary care billing — bringing hands‑on RCM expertise to help us build AI that billing professionals actually trust.

Why This Role Exists

Accelerate Agentic Billing velocity. Your hands‑on primary care coding and RCM expertise (e.g., AdvancedMD, Athena, or similar billing solutions) lets our team iterate on AI billing features with fast, credible domain feedback instead of waiting on live‑customer validation for every coding or claims decision.

Manage billing risk and trust as AI takes on more of the revenue cycle. Coding and billing correctness carries real financial and compliance consequences — denials, CPT/ICD accuracy, payer rules. As AI authorship of billing decisions grows, you’ll evaluate and safeguard accuracy and practice trust. You’re the billing analog to the clinical‑safety role our Clinical SMEs play for clinical AI.

What You’ll Do
User Zero Testing — Feedback Insight

Test new AI billing capabilities (coding suggestions, Auto-Queue, Worklist, ERA/payment posting) before wider release, evaluating them against real coding and billing judgment. You’ll be the first eyes on every billing feature, providing the credible feedback that shapes the product.

Front-line Context Grounding

Bring firsthand experience of how competitor and adjacent billing systems handle the same workflows, so our billing teams build with the broader RCM landscape in view — not just Elation's current implementation. Help us understand what "best in class" looks like.

Billing Evaluation Success Criteria

Define what "correct" means for coding and billing outputs — a billing‑specific subset of user success criteria — and pressure-test AI-generated billing outputs before they reach practices. Your judgment protects practices from billing mistakes.

Design Partner

Sit alongside Product Design as a billing co‑designer, providing billing and coding context and success criteria directly into the design process. Help architect workflows for process excellence by providing a high‑level view of industry standards and differentiators.

Customer Partner Key Contributor Support

Work with Product to act as the connective tissue between both billing teams and:

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