Pre-Billing / Revenue Cycle Management (RCM) Support

ABOUT ABBY CARE: POWERING THE FUTURE OF CARE AT HOME FOR ALL OF AMERICA.

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.

We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.

Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.

We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.

Join us in solving one of the most important challenges of our time.

THE OPPORTUNITY

As Abby Care continues to expand access to high-quality home healthcare services across the United States, we're growing our Care Operations team to ensure every patient encounter is accurately documented and every eligible service is reimbursed efficiently.

We're looking for a detail-oriented and proactive Care Operations Associate – Pre-Billing / RCM Support to support the clinical documentation workflows that enable accurate, timely claims submission to insurance providers and government payors, including Medicaid and Medicare.

In this role, you'll work at the intersection of Care Operations and Revenue Cycle Management (RCM), ensuring documentation is complete, compliant, and billing-ready before claims are submitted. You'll partner closely with Clinical, Operations, and RCM teams to resolve documentation issues, reduce claim denials, improve operational workflows, and help accelerate reimbursement.

If you're passionate about healthcare operations, enjoy solving process challenges, and thrive in a fast-paced environment where attention to detail matters, we'd love to hear from you.

This is a Full-Time Remote opportunity.

WHAT YOU'LL WORK ON

ENSURE BILLING-READY CLINICAL DOCUMENTATION

• Review EVV (Electronic Visit Verification), Face-to-Face (F2F), and Plan of Care documentation to ensure completeness and compliance before claims submission.

• Monitor, collect, and validate required clinical documentation to support clean claim generation.

• Verify documentation aligns with payer-specific and regulatory requirements.

SUPPORT REVENUE CYCLE OPERATIONS

• Submit or assist with submitting EVV and related documentation through payer portals.

• Track submission status and follow up on delayed, rejected, or incomplete documentation.

• Investigate documentation-related billing issues and denials, identifying missing information and preparing cases for correction or escalation.

• Maintain accurate documentation status, billing readiness, and follow-up records within internal systems.

IMPROVE DOCUMENTATION QUALITY

• Identify recurring documentation issues and recommend improvements to forms, checklists, and workflows.

• Help strengthen documentation processes that reduce billing delays and prevent future denials.

• Share process improvement recommendations with Care Operations and RCM leadership.

COLLABORATE CROSS-FUNCTIONALLY

• Partner with Clinical, Operations, and Revenue Cycle teams to resolve documentation blockers impacting billing.

• Respond professionally and promptly to inquiries from internal stakeholders and payer representatives.

• Support team goals through reliable execution, proactive follow-up, and clear communication.

WHAT SUCCESS LOOKS LIKE

• Consistently manages assigned documentation queues with high accuracy and timeliness.

• Ensures documentation is complete, compliant, and claim-ready before submission.

• Reduces billing delays by proactively resolving documentation gaps.

• Maintains accurate tracking records and documentation status across multiple patients and payors.

• Identifies process improvement opportunities that improve documentation quality and operational efficiency.

• Builds strong collaborative relationships with Clinical, Operations, and Revenue Cycle teams.

WHAT YOU'LL HAVE

EDUCATION & EXPERIENCE

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent healthcare revenue cycle experience may be considered.

• 2–4 years of experience in medical billing, healthcare operations, or Revenue Cycle Management.

• Experience supporting home health, home care, or community-based healthcare services is strongly preferred.

• Experience performing documentation review and billing support with limited supervision.

REVENUE CYCLE & DOCUMENTATION KNOWLEDGE

• Strong understanding of the home health revenue cycle and documentation workflows.

• Working knowledge of:

  • Electronic Visit Verification (EVV)

  • Face-to-Face (F2F) documentation

  • Plan of Care (POC)

  • Medicaid and Medicare documentation requirements

• Familiarity with prior authorization and reauthorization processes for home health services.

• Understanding of common documentation deficiencies that contribute to claim denials.

SKILLS & COMPETENCIES

• Excellent organizational and time management skills with the ability to manage multiple documentation queues.

• Strong analytical and problem-solving abilities.

• Exceptional attention to detail and commitment to documentation accuracy.

• Ability to determine when issues can be resolved independently versus escalated appropriately.

• Strong written and verbal communication skills.

• Comfortable collaborating with clinical, operations, and billing teams.

• Experience using Electronic Health Records (EHR), EVV platforms, billing systems, and payer portals.

COMPLIANCE KNOWLEDGE

• Working knowledge of HIPAA privacy and security requirements.

• Commitment to maintaining confidentiality and handling protected health information appropriately.

BENEFITS

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – global team members are eligible for an annual company performance bonus.

• Generous paid time off. We provide 15 days of paid time off that allow you to recharge, along with 10 paid U.S. company holidays.

• Set Up for Success. We provide a company-issued laptop to support you in your role.

• Growth Opportunities. Build your leadership skills while working with teams across multiple U.S. markets.

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

OUR VALUES

1. Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”

2. Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.

3. Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.

4. Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.

5. Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.

Automated Decision Tools

Abby Care may use automated decision tools to help match and rank candidate work experience, education and skills found in online profiles, resumes and job applications against job requirements. We believe that these tools help ensure objective, data-based decisions during the hiring process, however, all Abby Care hiring decisions involve final human review and input. If you have questions or would like to request an alternative process, contact talent@abbycare.org.