Medical Billing & Claims Specialist

Amaze Health • Denver, CO

12h • Onsite

About The Position

Amaze Health is seeking a dedicated Billing & Claims Specialist to help patients navigate complex medical billing and insurance challenges. The role reviews EOBs, itemized bills, and health plan documents to identify billing errors, benefit discrepancies, and opportunities for resolution. Acting as a third-party patient advocate, the specialist investigates issues and works with healthcare providers and insurance companies to pursue accurate resolutions rather than directly processing claims or billing patients. The specialist also translates complex billing and insurance information into clear, actionable guidance so patients understand their options and next steps. This in-person position is based at Amaze Health’s downtown Denver office at 18th & Broadway, with parking provided.

Requirements

• Minimum of five years of professional experience in medical billing, revenue cycle management, claims processing, or a closely related healthcare reimbursement function.
• Demonstrated experience reviewing and resolving medical billing and claims issues, including appeals, Explanation of Benefits (EOBs), and health plan benefit application.
• Experience reading, interpreting, and analyzing Summary Plan Descriptions (SPDs) or comparable health plan documents.
• Strong knowledge of healthcare reimbursement processes, including the ability to identify and address common billing and claims errors.
• Excellent written and verbal communication skills, with the ability to clearly explain complex billing, claims, and benefit information to individuals without a billing background.
• Proficiency with Microsoft Office applications or comparable tools used for document review, analysis, and reporting.

Nice To Haves

• Certified Professional Coder and/or Biller.

Responsibilities

• Review EOBs, itemized bills, and billing statements to identify potential errors, including upcoding, balance billing, and incorrect benefit application.
• Interpret SPDs and other health plan documents to verify benefits and coverage.
• Investigate billing and claims discrepancies and determine appropriate next steps.
• Advocate for patients by working with healthcare providers and insurance companies to correct errors and resolve issues.
• Clearly and empathetically communicate findings, next steps, and resolutions to patients.
• Maintain accurate documentation of case reviews, communications, actions, and outcomes in internal systems.
• Collaborate with team members on complex cases to support timely and accurate resolutions.

Benefits

• Inclusive, team-driven culture where employees' voices are valued and collaboration is the norm.
• Opportunities to deepen expertise in patient advocacy, insurance processes, and healthcare operations.
• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• 401(k) plan.
• Parking is provided.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed