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Sun Life
Sun Life
Sponsor pentru viza H1BAsistență medicalăConsultanțăFinanțe
Sun Life este o companie globală de servicii financiare cu sediul în Toronto, Canada. Înființată în 1865, compania oferă soluții de asigurare, investiții, consultanță financiară, administrarea averii, servicii de sănătate și administrarea activelor pentru persoane fizice, companii și instituții. Sun Life operează în America de Nord, Asia și Europa, combinând serviciile financiare cu oferte axate pe sănătate și punând accent pe sustenabilitate, diversitate și incluziune, precum și pe impactul asupra comunității. Gama sa largă de activități sprijină echipe care lucrează în domeniul financiar, al asistenței medicale, al consultanței și al serviciilor conexe.
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Billing Advocate Associate – Baltimore Hybrid

Support Sun Life members by resolving medical billing and insurance claim issues in a hybrid Baltimore role. Handle appeals, audits, claims coordination, and complex member advocacy from investigation through resolution.

USStatele Unite ale AmericiiCTConnecticutMEMaineMDMarylandMAMassachusettsMOMissouriTNTennesseeWIWisconsin
47.600 $ – 64.300 $ / an
HibridNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăGeneralSusținător

Descriere

  • Investigate unpaid, underpaid, and denied claims, using follow-up, escalation, and appeals to pursue resolution.
  • Review medical bills, Explanations of Benefits, and payment records for accuracy.
  • Manage out-of-network claim submissions and flag coding, processing, or coverage discrepancies.
  • Lower members’ out-of-pocket expenses through corrected claims and coordination of benefits.
  • Facilitate communication and resolution among members, healthcare providers, and insurers.
  • Record claim work, member interactions, and recommendations in Salesforce.
  • Use Microsoft Office, PDF and document-management applications, and carrier portals and call systems.
  • Provide support across Insurance Claims Advocacy products and handle escalations involving complex cases.
  • Coach new employees and support onboarding and cross-training activities.
  • Complete recurring case reviews to strengthen skills and maintain policy compliance.
  • Help create, assess, and improve standard operating procedures.
  • Assist with collecting and analyzing performance metrics.
  • Work with colleagues to identify process gaps and implement improvements.
  • Calm client concerns and develop appropriate resolutions.

Cerințe

  • Experience with health insurance, medical billing, or insurance advocacy.
  • Strong knowledge of medical billing audits, appeals, and coordination of benefits.
  • Outstanding verbal, written, and interpersonal communication abilities.
  • Highly organized, able to prioritize effectively, and capable of managing multiple member cases at once.
  • Proficiency with Microsoft Office.
  • Experience using Adobe or comparable document-management software.
  • Familiarity with insurance carrier and plan portals.
  • Salesforce experience is preferred.
  • Ability to approach sensitive situations with diplomacy, persistence, and sound judgment.
  • Collaborative work style supported by strong work ethic, perseverance, and initiative.
  • Consistent focus on member needs.
  • Basic familiarity with CPT, HCPCS, and ICD medical coding.

Beneficii

  • Generous vacation and sick leave.
  • Paid family, parental, and adoption leave.
  • Medical coverage.
  • Company-paid life and accidental death and dismemberment insurance.
  • Disability programs.
  • Partially paid sabbatical program.
  • 401(k) employer matching.
  • Stock purchase opportunities.
  • Employer-funded retirement account.
  • Flexible, inclusive, and collaborative workplace.
  • Support for career development and advancement.
  • Discretionary annual incentive award tied to individual and business performance.

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