Responsibilities
- Verify insurance eligibility and benefits for all new Boulder Care commercial enrollments
- Convey policy benefit and eligibility information to patients in a comprehensive and professional manner
- Answer incoming questions from Boulder patients around balances due, non-covered charges, etc.
- Assist 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 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 the 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
Tools & Technologies
- EHR
Insurance Verification and Patient Support Specialist Arbeitgeber: Jobtailor
Als Global Director B2B – Business Development bei uns profitieren Sie von einer dynamischen und innovativen Arbeitsumgebung, die auf Zusammenarbeit und Kreativität setzt. Wir bieten Ihnen nicht nur attraktive Vergütungsmodelle und umfassende Weiterbildungsmöglichkeiten, sondern auch die Chance, in einem internationalen Team zu arbeiten, das Vielfalt und persönliche Entwicklung fördert. Unsere Unternehmenskultur legt großen Wert auf Flexibilität und Work-Life-Balance, sodass Sie Ihre Karriereziele in einem unterstützenden Umfeld erreichen können.
