Hybrid Full Stack Specialist

at Sun Life

• Job title: Full Stack Specialist
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $43,100 - $58,200 per year
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Kansas City, United States

About the role

• Front and Back-End Specialists at Sun Life handling accounts receivable and revenue cycle management tasks in a hybrid work environment. Collaborating within teams to ensure efficiency and accuracy in billing operations.

Responsibilities

• Claims Follow-Up: Review and follow up on outstanding claims to ensure timely reimbursement
• Denial Management: Investigate claim denials, determine reasons for non-payment, and follow up with the payer to resolve and appeal when necessary
• Billing: Oversee billing activities, ensuring accurate and timely submission of claims to payers, and address any billing discrepancies
• Rejections: Identify, investigate, and resolve claim rejections promptly to ensure the timely processing of payments
• Help Desk: Provide support and respond to internal and external inquiries regarding billing issues, claim statuses, and account discrepancies
• AR Follow-Up: Manage follow-up on outstanding accounts receivable, ensuring timely resolution of overdue claims and facilitating effective communication with payers
• Posting: Accurately post payments and adjustments to patient accounts and insurance claims
• Credit Balances: Identify and resolve credit balances on accounts, ensuring they are handled promptly and according to company policy
• Cross-Training: Willingness to cross-train in all functions of RCM, including but not limited to billing, refunds, collections, and other processes, to support team flexibility and efficiency
• Process Improvement: Assist in identifying and implementing process improvements to streamline the AR and billing functions
• Collaboration: Work closely with other members of the RCM team to ensure timely and effective resolution of claims, share knowledge on payer issues, and improve overall processes

Requirements

• High school diploma or equivalent
• Minimum of 3 years of experience in accounts receivable, dental billing, or a related field is required
• Experience in a dental or healthcare environment, ideally within a Dental Service Organization (DSO) or similar multi-location setting
• Strong knowledge of insurance billing, payment procedures, and AR processes
• Knowledge of payer guidelines and claims appeals processes
• Familiarity with dental practice management systems, such as Dentrix or similar PMS platforms
• Ability to navigate payer portals, insurance company websites, and databases
• Excellent communication and negotiation skills to resolve issues with insurance payers
• Strong attention to detail and organizational skills

Benefits

• Generous vacation and sick time
• Market-leading 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