Medical Claims and Billing Specialist

Boulder Care

4h • $26 - $29 • Remote

About The Position

Boulder Care is seeking a Medical Claims & Billing Specialist who will be responsible for all phases of the revenue cycle, from claims submission through payment posting and denied or outstanding claims resolution. You will also work closely with our Enrollment Team to ensure quick resolution to insurance eligibility issues and other patient billing inquiries. You're a great fit if you are detail-driven and organized with a knack for building and maintaining strong relationships with team members and patients alike.

Requirements

• 5+ years of experience in a healthcare setting specific to billing and accounts receivable
• Ability to interpret and apply insurance payer billing guidelines, claim rules, and contract terms
• Proficiency in government, commercial and/or insurance payer claims follow-up, denial resolution, and appeals processes
• CPT and ICD coding knowledge
• Knowledge of ANSI 837 and 835 files, including how to read and interpret
• Exceptional written and verbal communication
• Team-focused; effective collaboration. Serves both the team and the customer at a consistently high level
• Demonstrates problem-solving and analytical skills appropriate for the position
• Demonstrates high ethical standards of behavior
• Maintains composure under pressure
• Regularly demonstrates Boulder’s core values

Nice To Haves

• Experience with multiple payers
• Experience with payment plans and financial assistance applications

Responsibilities

• Ensure accurate and timely billing of all claims to the appropriate third party payers
• Insurance payment posting and account reconciliation
• Identifying and correcting billing errors and resubmitting claims to insurance carriers
• Research/rectify third party denials/edits, requests for information and other related correspondence
• Follow up with patients for outstanding balances, work with them to set up payment plans, or other assistance.
• Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs
• Other duties as assigned by RCM Leadership

Benefits

• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via Cigna, Doctors on Demand, and EAP for continuous care
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties
• Contribution to meaningful, life-saving work!

What This Job Offers

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