Insurance Verification and Patient Support Specialist
Job Description:
- Verify insurance eligibility and benefits for all new Boulder Care commercial enrollments
- Conveying policy benefit and eligibility information to patients in a comprehensive and professional manner
- Answering incoming questions from Boulder patients around balances due, non covered charges etc
- Assist our Enrollment Specialist and Care Navigator teams with difficult insurance verification details for newly enrolled and established patients
- Act as first point of contact for incoming patient messages, as well as internal requests for support
- Maintain ongoing dated eligibility checks for accurate billing and clean claims
- Collaborate with other teams to assist with patients who have lapsed coverage and need temporary financial assistance
- Serve as subject matter expert for internal insurance training
- Help develop and maintain standard processes that keep insurance data accurate and up to date in our EHR
- Identify and correct billing errors and resubmit 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
Requirements:
- Minimum 3-5 years of experience in a healthcare setting specializing in billing, insurance verification, and accounts receivable, with a strong focus on helping patients understand their coverage and financial responsibilities
- CPT and ICD coding knowledge
- Ability to communicate with patients clearly and compassionately to support a positive care experience
- Team-oriented; Serves both the team and the patient 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:
- Contribution to meaningful, life-saving work!
- 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
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