Claims Billing Specialist jobs in United States
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Sunbound · 4 weeks ago

Claims Billing Specialist

Sunbound is building the financial OS for senior care, aiming to simplify the payments experience for senior living operators and families. The Claims Billing Specialist will lead the Claims Operations team, ensuring accurate and timely billing for customers while collaborating with Product to enhance tools and processes.

Assisted LivingElder CareFinTechInformation TechnologyNursing and Residential CareReal Estate

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

Qualification

Claims billing experienceMedicare/Medicaid knowledgeMedical billing certificationEHR systems familiarityAttention to detailTime managementCommunication skills

Required

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

Preferred

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.)

Benefits

Meaningful equity in the business’s success

Company

Sunbound

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Sunbound is the leading tech-enabled finance platform built exclusively for senior care

Funding

Current Stage
Early Stage
Total Funding
unknown
Key Investors
Omega Healthcare Investors
2025-05-13Seed
2021-09-09Pre Seed

Leadership Team

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Manny Cominsky
Co-founder & CEO
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Company data provided by crunchbase