Billing Subject Matter Expert- Support

Elation Health, Inc.; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Elation Health, Inc. is seeking a Support Subject Matter Expert in Elation Billing with practitioner-level billing experience to join our live-support team.

You will diagnose whether a case is a product issue, payer quirk, or workflow misconfiguration, then resolve it and share learnings with the team. In this high-impact role, you’ll work directly on complex billing cases, help shape the product roadmap with billing insights, and strengthen the team’s overall RCM literacy through documentation

Qualifications

• 3+ years of hands-on medical billing / revenue cycle management experience.
• Experience diagnosing whether an issue is a product bug, payer-specific quirk, or workflow mismatch.
• Ability to work directly in the support queue on live billing cases.

Responsibilities

• Serve as embedded RCM expert for Elation Billing, owning complex billing cases.
• Act as go-to resource for escalations within Elation Billing for nuanced issues.
• Diagnose underlying billing context (payment model, staffing, workflow) to separate product issues from configuration.
• Partner with Product to inform roadmap with recurring edge cases and payer patterns.
• Contribute to and maintain billing knowledge base, SOPs, and macros.
• Help build the team’s baseline RCM literacy by sharing real-world billing insights.
• Track billing-case quality and flag systemic patterns to prevent recurring issues.

Skills

Medical billing

Revenue cycle management

Claims submission

Payer follow-up

Denials management

Job description

Elation Health is deeply committed to helping independent primary care practices take better care of their patients. Since 2010, we've built a clinical-first, collaborative EHR platform - and with the addition of Elation Billing, we're bringing that same clinical-first philosophy to the revenue side of the practice, so billing works with the chart instead of around it.

Elation Health is searching for a Support Subject Matter Expert in Elation Billing - someone who has already done real medical billing and revenue cycle management work, not someone learning it on the job. This is a hands-on, case-based role embedded directly in our support queue: you'll bring practitioner-level RCM judgment to the billing cases our Technical Support Specialists can't fully resolve through process or AI-assisted troubleshooting alone, and you'll help the rest of the team get sharper at spotting those cases in the first place.

This isn't a back-office consulting role. You'll be working live cases day to day alongside our support team, diagnosing whether an issue is a product bug, a payer-specific quirk, or a mismatch between how a practice actually operates and how they've configured their billing workflow - then resolving it with the kind of judgment that only comes from having sat inside a claims lifecycle before.

Responsibilities

• Serve as the Elation Billing product line's embedded RCM expert, owning complex billing and revenue cycle cases that require practitioner-level judgment - claims lifecycle issues, CPT/ICD-10 coding logic, payer adjudication and denial patterns, A/R and collections workflows.
• Act as the go-to resource for case swarms and escalations within Elation Billing whenever a Technical Support Specialist's investigation surfaces a billing nuance beyond scripted troubleshooting.
• Diagnose a practice's underlying billing context - payment model (insurance-taking vs. DPC), staffing structure, and prior workflow choices - to distinguish genuine product issues from configuration or workflow mismatches, rather than treating every case as a symptom in isolation.
• Partner with Product and Prod Dev, turning recurring billing edge cases, payer-specific patterns, and denial trends into structured feedback that can inform the roadmap.
• Contribute to and maintain the team's billing-related knowledge base, SOPs, and macros, and help calibrate the AI Case Assistant's billing-related suggestions so resolutions compound across the team rather than living only in your own case history.
• Help build the broader team's baseline RCM literacy - sharing real-world billing context so Specialists can better anticipate the issues different practice types are prone to.
• Track and report on billing-case quality and resolution metrics within your scope, and flag systemic patterns rather than resolving the same root cause case-by-case indefinitely.

Requirements

• 3+ years of hands-on medical billing / revenue cycle management experience - claims submission, payer follow-up, denial m