If you are interested in joining the SunStone Consulting team, please send your resume to inquiries@sunstoneconsulting.com.

 

Current Openings

 
 

Medical Billing Supervisor

Overview:  We are seeking a qualified and dedicated medical biller/analyst to join our reimbursement and revenue consulting practice

Job Type:  Full-time

Job Description

This person will be responsible for a variety of tasks requiring data analysis, evaluation, and judgment.  To succeed in this position, the candidate must possess a working knowledge of billing software, medical insurance contracts, and be able to demonstrate excellent written and verbal communication skills. Communication with other consulting team members, clients, and insurance representatives will form a large part of the day to day functions.  Primary duties for this position will include the following:

  1. Working with various billing software applications

  2. Submitting Medicare and managed care claims and adjustment claims

  3. Tracking insurer payments and analyzing contractual allowances

  4. Pursuing denied claims through electronic and written appeal

  5. Conducting follow-up and resolution with insurers

  6. Performing medical record analysis

  7. Analyzing patient benefit eligibility information

 

Desired Experience

  1. A minimum of five years of experience as a medical inpatient biller in a high-volume healthcare setting.  Strong desire for supervisory experience

  2. Thorough understanding of Medicare and managed care insurer billing, reimbursement and terminology

  3. Proficient with Microsoft Office products including Excel and Teams

  4. Familiarity with Medicare DDE/FSS0/HETS systems

  5. EPIC and/or other third-party billing systems

  6. Must have the ability to work independently, mentor others and manage time effectively