Claims Billing Specialist

Sunbound

9d

About The Position

We’re looking for a Claims Billing Specialist to lead our growing Claims Operations team. You’ll report to our Revenue Cycle Management Operations Lead and help ensure billing for our customers is on-time and accurate. This is a highly collaborative team with lots of opportunities to shape the direction of the Claims team and processes along with partnering with Product to ensure we are building the right tools.

Requirements

• High school diploma or equivalent; associate’s or bachelor’s degree preferred.
• Minimum 2 years of experience in billing, claims follow up, and denial management.
• Strong understanding of Medicare/Medicaid guidelines, managed care plans, and private insurance billing.
• Exceptional attention to detail, time management, and communication skills.

Nice To Haves

• Certification in medical billing/coding (e.g., CPC, CCA) is a plus.
• Familiarity with electronic health records (EHR) systems and clearinghouses.
• Familiarity with payer portals (Availity, Navinet, Provider One, PaySpan, etc.)

Responsibilities

• Clean, review, and submit claims for senior living health providers (specifically assisted living and skilled nursing / nursing home providers)
• Ensure coding and documentation compliance with CMS and payer-specific requirements
• Track claim statuses and remittances
• Work denials and follow up with unpaid claims proactively
• Evaluate insurance operations and identify efficiency improvements
• Analyze EOBs and post manual payments

Benefits

• Low-ego, tight-knit, collaborative, high-performing team
• Product-led culture with continuous improvement, blameless post-mortems and intellectual honesty
• A committed group of individuals laser-focused on our mission → making managing money for senior living easy, so our customers can focus on what really matters
• A group full of ambition - we know we can, and will, achieve great things
• Timing! Sunbound is at an inflection point. Every month, we reach new levels of scale. We’ve proven we can execute on the basics; now we need to repeat and build on that success. This provides stability, while still being early enough that there are lots of opportunities for full ownership of new projects, and we can also give meaningful equity in the business’s success.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED