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Lead Software Developer Medical Billing and AI RCM Platform

Contract
HOURLY / FULL_TIME
Client
United States · ★ 4.87 (32)
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Upwork

php, eclinicalworks, api

Preferred qualifications

  • Experience: Expert
  • English: Fluent
Experience Level: Expert Project Type: Long-Term/Ongoing Development Position: Lead Developer/Technical Architect Industry: Healthcare Technology/AI/Medical Billing Candidates: US preferred, overseas talent must be fluent/native English speaker We are developing a next-generation, AI-powered Revenue Cycle Management (RCM) cloud-platform designed to automate the medical billing lifecycle, from patient insurance eligibility verification through claim submission, claim tracking, denial management, and payment reconciliation. Our goal is to create an intelligent, scalable platform that integrates with existing Electronic Health Record (EHR) systems, initially eClinicalWorks (eCW), and communicates directly with healthcare clearinghouses and insurance payers using industry-standard APIs and HIPAA-compliant EDI transactions. We are a small software development company that builds platforms/apps for our clients and you will be working with directly with the founder (also a software developer). Must be highly skilled in developing platforms with PHP/MySQL/JS as well as an expert at APIs, authentication, database architecture, app security, and experience building complex SaaS applications. Familiarity with React as well as newer web technologies is a plus. Experience with healthcare technology, medical billing, EDI transactions, and AI/LLM integrations is highly desirable and please mention this when submitting for this position. Candidates with experience in any of the following will receive priority consideration: - Healthcare Revenue Cycle Management (RCM) systems - Medical billing and claims processing software - eClinicalWorks (eCW) integrations - HL7 FHIR and healthcare interoperability - HIPAA X12 EDI transactions (837, 835, 270/271, 276/277) - Clearinghouse integrations, particularly Stedi or similar API-based platforms - Healthcare payer APIs and eligibility verification - AI/LLM integration, including OpenAI and other language models - AI agents, workflow orchestration, and human-in-the-loop automation - HIPAA-compliant cloud application architecture If you are an expert-level developer that can skillfully architect and build SaaS platforms with speed, then not understanding the medical side is okay as the founder can help familiarize you with this. This is an amazing project and we're looking for someone that can dedicate all their efforts to bringing this to life. We are also looking to build a long-term relationship with this candidate that reaches far into the future. If this sounds like you then please apply.
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