Billing SME - Product

Elation Health
United States +1 more
Remote

Who this role is best for

A natural match if you have hands-on primary care billing experience and are comfortable bridging product teams with real-world billing practices.

Best fit for

  • Candidates with 3+ years of primary care billing experience and a strong grasp of CPT/ICD-10 rules
    — “3+ years of hands-on primary care billing and coding experience in a physician practice setting”
  • Individuals who can translate billing expertise into product feedback and design collaboration
    — “Ability to translate billing domain knowledge into clear, actionable product feedback”
  • Professionals familiar with RCM systems like AdvancedMD or Athena and who understand payer rules
    — “Experience with practice management and billing systems (e.g., AdvancedMD, Athena, Kareo, or similar platforms)”

Things to consider

  • The role requires active participation in cross-functional meetings and stand-ups
    — “Show up regularly in CSM/Support stand-ups”
  • The position demands a deep understanding of both billing and clinical workflows
    — “Experience with EHR workflows and how billing intersects with clinical documentation”

How to stand out

  • Highlight your ability to provide domain feedback during early product testing phases
    — “Test new AI billing capabilities before wider release”
  • Emphasize your background in working with payer rules and denial management
    — “Working knowledge of commercial and government payer rules, denial management”
  • Showcase your collaboration experience across Product, Design, and Customer Success teams
    — “Comfortable collaborating cross-functionally with Product, Design, Engineering, and Customer Success teams”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • accelerate AI-powered billing capabilities
  • ensure accurate and trustworthy billing outcomes
  • define success criteria for billing outputs
Typical background
experience in billing and codingknowledge of AI and machine learning in billing

Skills & requirements

Required

Billing ExpertiseRCM ExpertiseAI EvaluationProduct TestingProduct Design

Preferred

Data AnalysisProject Management

Stack & domain

AdvancedmdAthenaAi-powered BillingRCM ExpertiseLeadershipCommunicationProblem-solvingHealthcareBillingPrimary Care

About the role

Original posting from Elation Health

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:

Customer and design-partner practices piloting Agentic Billing, translating their real billing language and pain points into product-usable input

Internal key contributors — Enablement, Marketing, Sales, CSMs, Engagement Advisors, Support, other SMEs — who today escalate billing questions ad hoc and need a defined path to expertise

What Success Looks Like

Requirements: Billing and coding requirements for billing teams features carry your direct input — written into the requirements themselves, not layered on as post-hoc review

Contributes to customer-facing and design groups: Work with Product and Design to execute discovery and design sessions with design-partner practices and cross-functional design reviews, on a standing cadence

PM/PD-aligned: Your requirements and customer synthesis feed straight into product management's prioritization, design, and roadmap calls

Standup presence: Show up regularly in CSM/Support stand-ups, so billing escalations get triaged directly rather than bouncing through ad hoc Slack DMs

You'll Wear Two Hats

Billing Co-Designer — Bring primary-care coding and RCM expertise into the design process the way Clinical SMEs bring clinical expertise: defining billing success criteria, front-line grounding, and user-zero testing.

Customer & Cross-Functional Liaison — Be the person Engagement Advisors, Support, and other SMEs escalate billing questions to, and who works directly with customer and design-partner accounts to turn real billing language into input GPT/Thor can act on.

What You'll Bring

Required:

3+ years of hands-on primary care billing and coding experience in a physician practice setting

Deep familiarity with CPT, ICD-10, and modifier rules for primary care

Experience with practice management and billing systems (e.g., AdvancedMD, Athena, Kareo, or similar platforms)

Working knowledge of commercial and government payer rules, denial management, and claims workflows

Ability to translate billing domain knowledge into clear, actionable product feedback

Comfortable collaborating cross-functionally with Product, Design, Engineering, and Customer Success teams

Strong written and verbal communication skills

Nice to Have:

Experience with EHR workflows and how billing intersects with clinical documentation

Familiarity with value-based care billing models (MSSP, CPC+, direct contracting)

Certified Professional Coder (CPC) or similar certification

Experience in a SaaS, product, or technology-forward healthcare company

Previous involvement in user testing, product feedback, or design partnership roles

What This Role Is Not

Not a roadmap or prioritization owner — Billing teams retain those decisions

Not a gate that blocks releases — You provide feedback to teams, not directives

Not a substitute for user research — You support and accelerate it, you don't replace it

Salary: $

Elation welcomes individuals from all backgrounds and walks of life. Elation is proud to be an Equal Opportunity Employer and is dedicated to creating and maintaining a diverse and inclusive work environment.

We are committed to equal opportunity for all employees and applicants, and value individuals with diverse perspectives including, but not limited to: race, color, religion, sex, sexual orientation, socioeconomic status, age, gender identity or gender expression, national origin, disability or veteran status.

Elation also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. We firmly believe a strong culture that supports a diverse and inclusive workforce allows us to achieve Elation’s mission of helping independent primary care thrive.

Source: Elation Health careers

Similar roles