Role Description Under the direction of the Associate Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Case Management Specialist is responsible for ensuring the accurate and timely processing of all claims concerns or claim projects. This role acts as a bridge between financial accuracy and efficient communication, promptly addressing daily correspondence from physicians, care centers, vendors, and internal teams to resolve insurance claim denials. By leveraging Salesforce case management workflows, the AR Manager ensures that all claim issues or questions escalating to the RCM team are tracked, managed, and resolved with accountability. - Manage the full cycle of Salesforce cases, ensuring all RCM-related inquiries are documented, categorized, and resolved within established Service Level Agreements (SLAs). - Monitor Salesforce dashboards to identify practice inquiries trends and report on case resolution efficiency to leadership. - Deep expertise in billing, AR follow up, and denial management to promote one touch resolution of escalated cases. - Make independent decisions regarding claim adjustments, resubmissions, and other advanced resolution techniques in accordance with company policies and best practices. - Collaborate with internal teams and care center staff to streamline workflows and resolve escalated billing hurdles. - Utilize the Trizetto to perform denial analysis and initiate requests to add rules or edits to prevent recurring errors. - Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality and drive department Key Performance Indicators (KPIs). - Other duties as assigned. Qualifications - Education: High School Graduate. - 3+ years in a medical billing office or equivalent claims experience. - Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP, formulas) preferred. - Experience with athenaHealth/athenaOne and Salesforce (specifically Case Management) is highly preferred. - Strong understanding of credentialing and enrollment as it relates to claims processing required. - Must understand the drivers of revenue cycle performance and be able to resolve complex, multi-layered claim issues. - Must strictly comply with all HIPAA rules, regulations, and company policies regarding information privacy. Requirements - The salary range for this role is $52,000.00 to $55,000.00 in base pay and exclusive of any bonus or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). - This role is also eligible for an annual bonus targeted at 10%. - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Benefits - All your information will be kept confidential according to EEO guidelines. - Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Role Description We are looking for an Accounts Receivable / Partner Billing to support the financial operations of the business. Reporting to the Accounts Payable Supervisor, this role will work closely with the finance team to ensure timely, accurate, and efficient processing of accounts payable transactions. This position is ideal for professionals with a strong attention to detail, a solid foundation in accounting processes, and the ability to thrive in a fast-paced, team-oriented environment. Work hours: - 9:00 AM – 6:00 PM UK Time (Flexibility to start between 8:00 AM – 9:00 AM provided 8 hours are completed) - 5:00 PM to 2:00 AM (PHT) Work set-up: - Remote Qualifications - Bachelor’s degree in Accounting, Management or similar subject - A professional with a minimum of 3 years of professional experience in Finance Operations - Fluent in English, both written and spoken is mandatory - Have excellent verbal, listening and written communication skills - Microsoft Office experienced, mainly Excel - Have a high degree of accuracy and attention to detail - A team worker, with ability to interact with different departments - Have effective organizational, stress and time management skills - Dynamic, with high sense of responsibility, autonomy and critical sense - Well organized and proactive, with the ability to handle multiple tasks at a fast pace Requirements - Cash Collections and receivables bookings - Ensure accurate and updated account statements - Ensure that Partners accounts are reconciled to the accuracy of the data - Acquire and interpret data, analyze results and provide/improve ongoing Partner finance reports - Assure all the deadlines are met regarding the accounting monthly closing - Ensure compliance with internal financial and accounting procedures - Respond to Partners’ queries in a timely manner - European VAT knowledge, rules and requirements Benefits - Meaningful work & Growth: We take every opportunity to stretch ourselves and deliver an excellent client experience - Employee as our biggest asset: We are genuinely invested in our people’s career and welfare - Global reach & local impact: Get to work with high-growth startups and dynamic companies from the comfort of your own home - Powering global startups: We’ve created 1,400 Filipino jobs that empower global start-ups to focus on growth

• Managing end-to-end OTC processes • Customer credit management, billing, cash application, collections, dispute and deduction handling • Customer master data management, and month-end closing and reporting • Analyze and approve new customer credit applications • Assess customer creditworthiness • Prepare credit recommendations and proposals • Forecast, set, review, and update customer credit limits • Perform periodic reviews of existing customer accounts • Prepare and distribute credit and collections reports • Generate customer billing data • Validate billing accuracy • Generate and track customer invoices • Post accounts receivable entries and related journals • Investigate and resolve customer billing inquiries • Process customer payments • Reconcile AR activity and post AR transactions • Analyze delinquent account balances • Monitor payment compliance • Identify, manage, and report default accounts • Prepare and post credit and debit memos • Create, maintain, and update customer master data • Perform monthly AR closing activities • Prepare AR metrics and management reports • Support internal and external audits

RCM Insurance AR and Posting Specialist (Dental Billing) locations U.S. Telecommuters time type Full time job requisition id JR00119650 Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: FULLY REMOTE OPPORTUNITY The Insurance A/R & Posting Specialists are responsible for a variety of tasks within the Accounts Receivable (AR) and Revenue Cycle Management (RCM) processes. This includes managing rejections, billing, help desk inquiries, AR follow-up, posting payments, and credit balances. These roles will work within a pod structure, where staff will be assigned specific tasks and rotate through the pods at different times. Cross-training is a key part of this structure, and team members will be responsible for filling in for others as needed, ensuring continuity and consistency of the work. How you will contribute: Claims Follow-Up: Review and follow up on outstanding claims to ensure timely reimbursement. Contact insurance companies, payers, and patients to resolve any discrepancies, denials, or underpayments. 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. What you will bring with you: - 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. $43,100 - $58,200 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.  Not ready to apply yet but want to stay in touch?   Join our talent community to stay connected until the time is right for you!  We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.  Enjoy a flexible, inclusive and collaborative work environment that supports career growth.  We’re proud to be recognized in our communities as a top employer.  Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row.  Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Finance