Boulder Care · 14 hours ago
Insurance Verification & Billing Support Specialist
USA
Full-time
Remote
Mid, Senior Level
$25.50/hr - $28.50/hr
5+ years exp
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Responsibilities
Responsible for verifying insurance eligibility and benefits for all New Boulder commercial enrollments
Conveying policy benefit and eligibility information to patients in a comprehensive and professional manner
Assist the ES and CN team with difficult Insurance Verification or other barriers to validating the insurance details for enrollment or changes to established patients.
May include helping to troubleshoot portals, etc.
Acts as first point of contact for Incoming ZenDesk patient messages and the Slack channel #insurance-questions, pertaining to insurance and billing issues.
Will maintain ongoing dated eligibility checks for accurate billing and clean claims
Responsible for insurance eligibility verification for the Prior-Auth team as needed.
Collaboration with other Boulder teams to assist with patients who have lapsed coverage and need temporary “Boulder Assist” assigned.
Serves as SME for insurance training working to assist in new enrollment team onboarding.
Will work to help develop and maintain standard processes for keeping insurance data in the EHR accurate and up to date.
Other duties as assigned by Billing Leadership
Identifying and correcting billing errors and resubmitting claims to insurance carriers
Research/rectify third party denials/edits, requests for information and other related correspondence
Act as a key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs.
Qualification
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Required
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
Benefits
Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
Mental Health Services including MDLive, Talkspace, and EAP
4 weeks of PTO 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
Company
Boulder Care
Boulder is a telehealth provider of treatment and long-term support for people with substance use disorders
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$85.16MKey Investors
Advance Venture PartnersFirst Round Capital
2024-05-21Series C· $35.01M
2022-06-10Series B· $36M
2020-01-04Series A· $10.45M
Leadership Team
Stephanie Papes
Founder & CEO
David Lerman
CTO
Recent News
Behavioral Health Business
2024-11-20
2024-11-11
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