Abby Care

AI Engineer

• Set the Applied AI vision and roadmap: Define how AI will transform workflows across intake and enrollment, care delivery, revenue cycle management, and compliance. Partner with Engineering, Product, Clinical, Operations, and Analytics to prioritize the highest-leverage opportunities.
• Build the intelligence layer of Abby Care’s operating system: Architect and develop agentic systems that reason over complex information, interact with internal tools, and execute consequential healthcare workflows end to end.
• Design for safe and scalable autonomy: Establish human-in-the-loop and human-on-the-loop patterns based on risk, reversibility, confidence, and regulatory requirements, combining AI with deterministic systems where appropriate.
• Create shared AI foundations: Build reusable capabilities for orchestration, retrieval, knowledge representation, tool use, memory, structured outputs, evaluation, tracing, and feedback loops.
• Establish production and evaluation rigor: Define how Abby Care measures, monitors, and improves AI systems across quality, safety, reliability, latency, cost, and downstream operational outcomes.
• Build and lead the Applied AI function: Recruit and mentor engineers, set a high technical bar, embed AI engineers into domain teams, and remain hands-on in the most ambiguous and technically critical areas.

Tech Lead, Applied AI

Data Analyst

• Define and execute the strategic roadmap for our data foundation, prioritizing investments that drive measurable business impact.
• Standardize and govern core operating and clinical metrics, maintaining the central dashboards and reporting systems used to run the company.
• Partner with Engineering to build a unified, highly reliable data model aligned with our complex operational workflows.
• Identify critical bottlenecks and shift the organization from reactive reporting to proactive, root-cause decision-making.
• Collaborate with leadership across Product, Operations, and Clinical teams to translate ambiguous business problems into actionable data strategies.
• Apply AI tools to accelerate analytics productivity and establish the data layer required for future AI and machine learning capabilities.
• Recruit, mentor, and establish high standards of technical rigor for a growing, high-performing analytics team.
• Lead by example by actively contributing to complex SQL analysis, data modeling, metric design, and strategic investigations.

Senior Manager, Data & Analytics

Claims Specialist

• Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system.
• Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers.
• Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments.
• Process payment batches and reconcile payment uploads to bank deposits.
• Perform daily reconciliation of posted payments against bank statements and deposits.
• Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed.
• Maintain accurate logs of deposits, remittances, and reconciliation summaries.
• Conduct monthly reconciliation for internal financial reporting requirements.
• Identify claim denials, partial payments, or payer inconsistencies.
• Communicate with billing team members or payers to resolve payment issues.
• Track recurring denial trends and recommend corrective actions to improve clean-claim rates.
• Produce daily, weekly, and monthly payment and reconciliation reports.
• Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights.
• Provide analysis supporting month-end closing and financial reviews.
• Assist leadership with customized reporting requests.
• Ensure compliance with HIPAA, payer guidelines, and internal financial protocols.
• Maintain accurate and organized documentation of payments, remittances, and reconciliation records.
• Support audit requests by supplying detailed payment and reporting documentation.

Medical Claims Payment Posting, Reconciliation Specialist

Associate

• Review and verify clinical documentation required for claim submission.
• Audit home health documentation, including Electronic Visit Verification (EVV), Face-to-Face (F2F) encounters, Plans of Care (CMS-485).
• Ensure documentation meets payer and regulatory requirements before billing.
• Review EVV records for completeness and accuracy.
• Identify missing documentation or discrepancies and coordinate resolution.
• Submit EVV data through Medicaid portals and monitor submission status.
• Investigate documentation issues that contribute to claim denials.
• Partner with billing and operational teams to resolve discrepancies efficiently.
• Help minimize billing delays through proactive quality assurance.
• Assist with inquiries related to Prior Authorization Requests (PAR) and reauthorizations.
• Maintain accurate tracking of billing activities and patient documentation.
• Update internal systems to ensure real-time visibility into billing workflows.
• Communicate market- or payer-specific billing changes with internal billing teams.
• Work closely with Clinical, Operations, and Revenue Cycle teams to resolve documentation issues affecting billing.
• Respond professionally and promptly to inquiries from internal stakeholders and payers.

Home Health RCM Associate

• Collect, review, and track required documentation (e.g., IDs, certifications, health records) from caregivers and families
• Make outbound calls and handle inbound inquiries to guide families through the documentation process
• Manage a high volume of daily calls (50–70) with professionalism, empathy, and efficiency
• Ensure all documentation is accurate, complete, and compliant with state and Medicaid/Medicare requirements
• Communicate clearly and compassionately via phone, email, and text
• Maintain organized records and track expiring documents, sending timely follow-ups and reminders
• Collaborate cross-functionally with onboarding, credentialing, and family support teams

Document Collection Associate

• Lead data-driven decision-making efforts. You will manage the collection, analysis, and reporting of key business metrics, ensuring accurate data flows and actionable insights across all departments. You'll collaborate closely with cross-functional teams to track performance and align analytics with business goals.
• Streamline operations through data optimization. You’ll identify areas for process improvements, leveraging automation and data analytics to enhance operational efficiency. You’ll create and maintain dashboards, automate reporting, and support teams in driving data-informed decisions.
• Build and maintain analytical models. You will design and maintain systems to support business forecasting, trend analysis, and risk assessment. You'll work with leadership to ensure these models inform key strategic initiatives.
• Research & deploy cutting-edge analytics tools. You will evaluate and implement new software or platforms that enhance our data analytics capabilities. Managing the integration and deployment of these tools will ensure that the company stays at the forefront of data technology.

Business Analytics Associate

Growth Marketing

• Guide Caregivers Through the Intake Process
• Conduct inbound and outbound calls with caregivers who have applied to Abby Care.
• Guide caregivers through a detailed intake process lasting approximately 20–30 minutes.
• Clearly explain Abby Care's services and answer questions with confidence and empathy.
• Encourage and support caregivers who may be undecided about joining the program.
• Follow up with caregivers via phone, SMS, and email regarding missing information or next steps.
• Build Meaningful Relationships
• Serve as the primary point of contact until caregivers transition to the next stage of onboarding.
• Provide exceptional customer service through every interaction.
• Build trust by maintaining a compassionate, professional, and patient approach.
• Manage CRM & Administrative Tasks
• Document all caregiver interactions accurately in Salesforce and other internal systems.
• Maintain organized records and ensure timely follow-ups.
• Collaborate closely with Nurses, Care Operations, and other cross-functional teams to ensure a seamless caregiver experience.
• Support Continuous Improvement
• Share feedback on existing workflows and suggest process improvements.
• Adapt quickly as systems and processes evolve within a fast-growing startup environment.

Family Growth Associate – Intake Specialist

• Collect, review, and track required documentation from families and caregivers
• Support the insurance approval process by obtaining and validating required documents
• Manage a high volume of inbound and outbound calls with families, doctors' offices, and insurance companies (50–70 calls per day)
• Guide families through documentation requirements and next steps
• Ensure documentation is accurate, complete, and compliant with Medicaid, Medicare, and state regulations
• Maintain organized records and monitor document expiration dates
• Send timely follow-ups and reminders to families and external stakeholders
• Communicate professionally via phone, email, and text
• Collaborate with onboarding, credentialing, and family support teams
• Escalate issues that may delay approvals or impact family onboarding

Research Analyst

• Research state-level policies and Medicaid programs for target launch states, 6–12 months ahead of launch, to support the expansion roadmap
• Build and maintain a living state policy library - the authoritative internal reference for program eligibility, reimbursement structures, regulatory requirements, and operational implications by state
• Keep records current as policies evolve, and proactively surface changes that affect our roadmap or existing markets
• Research and maintain an ongoing record of competitors - their footprint, positioning, program participation, and strategic moves
• Surface competitive signals and market shifts to leadership through regular briefings
• Prepare and submit Medicaid applications to support market launches, on time relative to launch timeline gates
• Deliver structured launch readiness assessments for target states ahead of go/no-go decisions

Senior Associate, Research – Market Strategy

Manager

• Manage a diverse caseload, ensuring quality patient care and efficient care coordination.
• Provide coaching, oversight, and support to Home Health Aides (HHAs) to ensure high-quality patient care and adherence to clinical standards.
• Develop and implement individualized care plans based on patient assessments and goals.
• Coordinate with PCPs, therapy providers, and internal support teams to ensure comprehensive care.
• Provide education and support to patients and families regarding their health care needs and treatment plans.
• Maintain accurate and timely electronic charting, with a preference for real-time documentation.
• Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.
• Establish and maintain effective communication with PCPs, therapy providers, and internal support teams.
• Escalate appropriate issues to Clinical Leads in a timely manner, such as order management and patient concerns.
• Participate in on-call rotation (approximately one weekend per month), holiday rotation, and possible phone triage night coverage during weekdays.
• Achieve caregiver satisfaction by providing high-quality, compassionate care and support.
• Monitor and work to improve patient readmission rates.
• Ensure extended visits remain within acceptable ranges and administrative tasks (e.g., mileage reimbursements) are completed thoroughly.

RN Case Manager

Representative

• Own the full sales cycle from initial outreach through provider commitment.
• Engage physicians, administrators and clinical decision makers to drive adoption.
• Navigate clinical objections, compliance considerations, and operational workflows.
• Convert qualified leads into signed participation.
• Maintain clean, accurate pipeline in Salesforce.
• Focus on providers, pediatrics, therapists, specialists, and case management companies within assigned territories.

Founding Territory Representative

Full-stack Engineer

• Build and deliver product features: You will take ownership over the entire feature development lifecycle, from concept to delivery. This involves collaborating on project scope, performing full-stack development, and supporting user testing and launch cycles.
• Ensure cross-functional alignment: You will work alongside operations, clinical, compliance, and product teams to build solutions that work in the real world. You will help translate complex operational needs into reliable technical implementations.
• Champion technical excellence: You will deepen your technical expertise in areas like product development, cloud infrastructure, and data security. You will have the opportunity to broaden your horizons by contributing to greenfield systems using the latest advancements in AI, all while upholding rigorous healthcare industry standards.

Full-Stack Software Engineer

• Prepare, review, and submit accurate claims to insurance companies.
• Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered.
• Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care.
• Use billing software to process and track claims.
• Monitor claim status and follow up on unpaid or denied claims promptly.
• Investigate and resolve claim discrepancies, denials, and appeals.
• Generate reports for outstanding accounts receivable and payment trends.
• Ensure all billing practices comply with federal, state, and local regulations.
• Verify patient insurance information, eligibility, and prior authorization requirements.
• Maintain accurate records of billing activities and patient accounts.
• Collaborate with office staff, and payers to address billing and reimbursement issues.
• Provide clear communication to patients regarding their billing, payments, and financial responsibilities.
• Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.

Revenue Cycle Management Associate

Account Manager

• Embed & Map the Facility: Maintain a highly visible, daily presence within your assigned hospitals. Identify and map out key decision-makers, including discharge planners, social workers, bedside nurses, and attending physicians.
• Educate & Advocate: Serve as the subject matter expert on Abby Care. Conduct formal presentations and informal floor-level education so staff immediately recognize when a patient is a perfect fit for our programs.
• Drive Referral Volume: Actively prospect for eligible patients and build a predictable pipeline. You will be held accountable to strict volume metrics, and your compensation will scale with the referrals you bring in.
• Streamline Transitions: Remove friction in the admissions process. Work closely with hospital staff and the internal Abby Care intake team to ensure a seamless, urgent handoff from the hospital bed to the home.
• Track & Report: Rigorously utilize our CRM to log facility activities, track relationship progress, manage your pipeline, and analyze growth metrics within your assigned hospitals.

Hospital Relationship Manager

Threat Intelligence Specialist

• Research state-level policies and Medicaid programs for target launch states, 6–12 months ahead of launch, to support the expansion roadmap
• Build and maintain a living state policy library - the authoritative internal reference for program eligibility, reimbursement structures, regulatory requirements, and operational implications by state
• Keep records current as policies evolve, and proactively surface changes that affect our roadmap or existing markets
• Become AbbyCare’s resident expert on the programs and policies that enable family caregiving models across states
• Research and maintain an ongoing record of competitors - their footprint, positioning, program participation, and strategic moves
• Surface competitive signals and market shifts to leadership through regular briefings
• Track the broader market landscape to inform where AbbyCare should consider expanding next
• Source and qualify potential acquisition partners that could accelerate entry into target markets
• Maintain a documented pipeline of opportunities with the rationale, signals, and fit assessment for each
• Prepare and submit Medicaid applications to support market launches, on time relative to launch timeline gates
• Deliver structured launch readiness assessments for target states ahead of go/no-go decisions
• Flag policy gaps and regulatory risks early enough to shape the launch plan

Tech Lead, Applied AI

Senior Manager, Data & Analytics

Medical Claims Payment Posting, Reconciliation Specialist

Home Health RCM Associate

Document Collection Associate

Business Analytics Associate

Family Growth Associate – Intake Specialist

Document Collection Associate

Senior Associate, Research – Market Strategy

RN Case Manager

Founding Territory Representative

Full-Stack Software Engineer

Revenue Cycle Management Associate

Hospital Relationship Manager

Senior Market Intelligence, Expansion Analyst