Job Opportunities API

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 commun