Medical Billing Specialist

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $24 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Sunrise

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2015

🏥 Healthcare

🤖 Artificial Intelligence

🔧 Hardware

💰 $29.4M Venture Round - Sunrise on 2025-09

Healthcare • Artificial Intelligence • Hardware

Sunrise is a medical device company that provides a single‑sensor home sleep apnea test using mandibular jaw movement (MJM) bio-signals to diagnose obstructive sleep apnea and related sleep-disordered breathing. Their 8‑gram wearable sensor, paired with an AI‑scored reporting platform and a healthcare professional portal, delivers rapid, clinically validated results for use by clinicians; the technology has FDA De Novo clearance, NICE recommendation for home diagnosis, and multiple peer‑reviewed validations against polysomnography.

📋 Description

• Review clinical documentation and assign accurate diagnosis and procedure codes according to payer guidelines and coding regulations (ICD-10, CPT, HCPCS) • Process and submit insurance claims while ensuring coding accuracy and payer-specific compliance • Verify claim accuracy and proactively resolve billing discrepancies • Investigate unpaid balances, underpayments, and outstanding claims • Work with insurance carriers to resolve reimbursement issues and recover collectible dollars • Track, submit, and follow up on appeals and reconsiderations through resolution • Post insurance and patient payments accurately to accounts • Maintain timely account activity notations and accurate patient billing records in the practice management system • Stay current on coding updates, payer policy changes, and industry regulations • Collaborate with providers and administrative staff on efficient, compliant billing operations • Assist with internal audits and implement best practices to improve billing accuracy and clean claim rates • Follow procedures, protocols, and HIPAA requirements; escalate complex issues to the supervisor • Complete additional assigned tasks

🎯 Requirements

• 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

🏖️ Benefits

• 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