Medical Billing Specialist

1 hour, 14 minutes ago
Full-time
Mid Level
Operations
Sunrise Group

Sunrise Group

Sunrise Group empowers businesses across various sectors, including technology, automotive, and healthcare, by providing innovative consulting services that promote diversity, inclusion, and environmental sustainability.

Internet Software & Services
51-250
Founded 2008

Description

  • Review clinical documentation and assign ICD-10, CPT, and HCPCS codes according to payer requirements and regulations.
  • Process, verify, and submit accurate insurance claims while proactively resolving discrepancies.
  • Investigate unpaid balances, underpayments, and outstanding claims, and follow up with insurance carriers.
  • Submit and manage appeals and reconsiderations through resolution.
  • Post insurance and patient payments accurately and maintain detailed account notes and billing records.
  • Monitor coding updates, payer policy changes, and healthcare regulations.
  • Collaborate with providers and administrative staff to improve billing operations and clean-claim rates.
  • Support internal audits, follow HIPAA requirements, and escalate complex issues appropriately.

Requirements

  • 3+ years of medical billing and coding experience in a healthcare setting.
  • Strong knowledge of ICD-10, CPT, HCPCS, billing workflows, and insurance claim processes.
  • Experience with Sleep Medicine and/or DME billing is strongly preferred.
  • Experience in private medical practices or outpatient clinics is preferred.
  • CPC, CCS, RHIT, or RHIA certification is a plus.
  • Exceptional attention to detail, accuracy, organization, and problem-solving skills.
  • Strong written and verbal communication skills.
  • Ability to work independently and prioritize tasks in a remote environment.
  • Interest in sleep health and improving patient well-being.

Benefits

  • $24.00-$29.00 per hour, depending on experience.
  • Medical, dental, and vision coverage.
  • Free One Medical membership.
  • 401(k) with company match.
  • 20 days of PTO, 10 paid holidays, and 80 hours of paid sick leave.
  • Monthly phone and internet stipend.
  • International team environment and annual team offsite.

Interested in this position?

Apply directly on the company website

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