Billing Advocate Associate

Sun Life

. Investigate and resolve unpaid, underpaid, or denied claims through follow-up, escalation, and appeals .

Posted 10/7/2026full-timeUnited StatesJuniorMid-Level💰 $47,600 - $64,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing audits, appeals, and coordination of benefits while effectively managing member claims and advocating for their needs. Proficient in Salesforce and Microsoft Office, with strong communication and organizational skills to handle complex cases and mentor team members.

Highest-signal resume keywords

Medical Billing AuditsClaims AdvocacySalesforce ExperienceMicrosoft Office ProficiencyBasic Medical Coding Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingClaims ResolutionAppeals ProcessCoordination of BenefitsAudit SkillsError IdentificationPayment History AnalysisDocument ManagementPerformance Metric AnalysisBasic Medical Coding

Soft Skills

Exceptional Communication SkillsOrganizational SkillsTeam PlayerDiplomacyProblem-Solving

Tools & Technologies

SalesforceMicrosoft OfficeAdobeInsurance Carrier PortalsPDF Management Tools

Industry Keywords

Health InsuranceMedical BillingInsurance AdvocacyClaims ProcessingMember-Centric Focus

About the role

Key responsibilities & impact

Investigate and resolve unpaid, underpaid, or denied claims through follow-up, escalation, and appeals
Audit medical bills, Explanations of Benefits, and payment histories
Track and submit out-of-network claims and identify errors, coding issues, or coverage mismatches
Reduce member out-of-pocket costs through correction claims and coordination of benefits
Represent and mediate among members, providers, and insurance carriers
Document claim activities, interactions, and recommendations in Salesforce
Use Microsoft Office, PDF/document management tools, and insurance carrier portals/call systems
Deliver advocacy services across Insurance Claims Advocacy products and serve as an escalation point for complex cases
Mentor new hires and lead onboarding and cross-training
Conduct periodic case reviews for skill development and policy adherence
Assist with drafting, reviewing, and refining standard operating procedures
Support performance-metric data collection and analysis
Collaborate on identifying and addressing process gaps and improvements
De-escalate client concerns and develop suitable solutions

Requirements

What you’ll need

Experience in health insurance, medical billing, or insurance advocacy
Proven expertise in medical billing audits, appeals, and coordination of benefits
Exceptional verbal, written, and interpersonal communication skills
Excellent organizational and prioritization skills; ability to manage multiple member matters simultaneously
Computer proficiency in Microsoft Office
Proficiency with Adobe or similar document management tools
Carrier/plan portal proficiency
Salesforce experience preferred
Ability to handle sensitive situations with diplomacy and tenacity
Team player with a strong work ethic, perseverance, and a can-do attitude
Member-centric focus
Basic medical coding familiarity (CPT/HCPCS/ICD)

Benefits

Comp & perks

Generous vacation and sick time
Paid family, parental and adoption leave
Medical coverage
Company-paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
401(k) employer match
Stock purchase options
Employer-funded retirement account
Flexible, inclusive and collaborative work environment
Career growth support
Discretionary annual incentive award based on individual and business performance