Insurance Verification and Patient Support Specialist

Role Overview

• 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