Job title: Medical Billing Specialist
What You’ll Do
- Billing, Coding & Claims: Review clinical documentation and assign accurate diagnosis and procedure codes in accordance with payer guidelines and coding regulations (ICD-10, CPT, HCPCS).
- Process and submit insurance claims, ensuring coding accuracy and compliance with payer-specific requirements.
- Verify claim accuracy prior to submission and resolve billing discrepancies proactively.
- Collections & A/R Follow-Up: Investigate and follow up on unpaid balances, underpayments, and outstanding claims.
- Work directly with insurance carriers to resolve reimbursement issues and recover collectible dollars.
- Track, submit, and follow up on appeals and reconsiderations through resolution.
- Payment Posting & Account Maintenance: Accurately post insurance and patient payments to accounts.
- Maintain clear, concise, and timely notations of all account activity.
- Maintain accurate patient billing records and documentation in the practice management system.
- Compliance & Collaboration: Stay current on coding updates, payer policy changes, and industry regulations.
- Collaborate with providers and administrative staff to support efficient, compliant billing operations.
- Assist with internal audits and implement best practices to improve billing accuracy and clean claim rates.
- Adhere to established procedures, protocols, and HIPAA requirements; escalate complex issues to supervisor as appropriate.
- Complete additional tasks as assigned.
What You Bring
- 3+ years of experience in medical billing and coding within a healthcare setting.
- Experience in Sleep Medicine and/or DME billing strongly preferred.
- Strong understanding of medical coding standards (ICD-10, CPT, HCPCS), billing workflows, and insurance claim processes.
- Professional coding certification (CPC, CCS, RHIT, or RHIA) is a plus.
- Experience working with private medical practices or outpatient clinics preferred.
- Exceptional attention to detail, accuracy, and organizational skills.
- Strong critical thinking and problem-solving ability, with capacity to work through complex claim and reimbursement issues.
- Excellent written and verbal communication skills.
- Ability to work independently and manage priorities in a remote environment.
- Genuine interest in sleep, health, and helping people better understand and improve their well-being.
Our Core Values
At Sunrise Group, we keep things clear and simple ✨, value trust and collaboration 🤝, and lead with optimism and compassion 🌞. These values guide everything we do.
What We Offer
- Meaningful work that directly improves peoples’ lives
- Be part of an international team across the US, France, Belgium
- Annual team offsite
- Comprehensive health benefits (medical, dental, vision)
- FREE One Medical membership
- 401(k) with company match
- 20 days PTO + 10 paid holidays + 80 hours paid sick leave
- Monthly phone and internet stipend
- Compensation: $24.00 - $29.00 per hour depending on experience
Additional
We hire humans, not bullet points. Don’t meet every single qualification? That’s okay. We care more about who you are than what’s on your CV. We’re looking for people who are curious, resourceful, and ready to roll up their sleeves — especially if you’re excited about building something new in healthcare. So if you think you could make an impact here, reach out to us.
