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Medical Billing Specialist
Dreem Health | Sunrise. Review clinical documentation and assign accurate diagnosis and procedure codes in accordance with payer guidelines and coding regulations (ICD-10, CPT, HCPCS).
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and coding, particularly with ICD-10, CPT, and HCPCS coding standards, while ensuring compliance with payer guidelines and regulations. Proficient in managing insurance claims, resolving discrepancies, and maintaining accurate patient billing records.
Highest-signal resume keywords
Medical Billing And CodingICD-10 CodingCPT CodingProfessional Coding CertificationSleep Medicine Billing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Diagnosis CodingProcedure CodingInsurance Claims ProcessingBilling WorkflowsClaim ResolutionPayer CompliancePatient Billing RecordsCoding StandardsBilling AccuracyHIPAA Compliance
Soft Skills
Attention To DetailCritical ThinkingProblem-SolvingWritten CommunicationVerbal Communication
Tools & Technologies
Practice Management System
Certifications & Qualifications
CPCCCSRHITRHIA
Industry Keywords
Healthcare SettingSleep MedicineDME BillingPrivate Medical PracticesOutpatient Clinics
About the role
Key responsibilities & impact- Review clinical documentation and assign accurate diagnosis and procedure codes in accordance with payer guidelines and coding regulations (ICD-10, CPT, HCPCS).
- Process and submit insurance claims, ensuring coding accuracy and compliance with payer-specific requirements.
- Verify claim accuracy prior to submission and resolve billing discrepancies proactively.
- Investigate and follow up on unpaid balances, underpayments, and outstanding claims.
- Work directly with insurance carriers to resolve reimbursement issues and recover collectible dollars.
- Track, submit, and follow up on appeals and reconsiderations through resolution.
- Accurately post insurance and patient payments to accounts.
- Maintain clear, concise, and timely notations of all account activity.
- Maintain accurate patient billing records and documentation in the practice management system.
- Stay current on coding updates, payer policy changes, and industry regulations.
- Collaborate with providers and administrative staff to support efficient, compliant billing operations.
- Assist with internal audits and implement best practices to improve billing accuracy and clean claim rates.
- Adhere to established procedures, protocols, and HIPAA requirements; escalate complex issues to supervisor as appropriate.
- Complete additional tasks as assigned.
Requirements
What you’ll need- 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
Comp & perks- 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