Insurance Verification and Patient Support Specialist

This is a fully remote position, open to applicants in Arizona, +5 more states.

📋 Description

• Validate insurance eligibility and benefits for all new Boulder Care commercial enrollments.

• Communicate policy benefit and eligibility details to patients in a thorough and professional manner.

• Address incoming inquiries from Boulder patients regarding outstanding balances, non-covered charges, etc.

• Support our Enrollment Specialist and Care Navigator teams with complex insurance verification issues for newly enrolled and existing patients.

• Serve as the initial point of contact for incoming patient messages and internal support requests.

• Conduct ongoing eligibility checks to ensure accurate billing and clean claims.

• Collaborate with other teams to assist patients with lapsed coverage who require temporary financial assistance.

• Act as a subject matter expert for internal insurance training sessions.

• Assist in developing and maintaining standardized processes to ensure insurance data is accurate and current in our EHR.

• Identify and rectify billing discrepancies and resubmit claims to insurance companies.

• Investigate and resolve third-party denials, edits, information requests, and other related correspondence.

• Play a vital role in the Revenue Cycle by pinpointing and reporting inefficiencies and opportunities that can improve revenue flow, reduce denials, and lower write-offs.

⛳️ Requirements

• A minimum of 3-5 years of experience in a healthcare environment focusing on billing, insurance verification, and accounts receivable, with a strong emphasis on aiding patients in understanding their coverage and financial obligations.

• Knowledge of CPT and ICD coding.

• Ability to communicate with patients in a clear and compassionate manner to ensure a positive care experience.

• Team-oriented; consistently serves both the team and the patient at a high level.

• Exhibits problem-solving and analytical skills suitable for the role.

• Upholds high ethical standards of conduct.

• Maintains composure in high-pressure situations.

• Regularly demonstrates Boulder’s core values.

🏝️ Benefits

• Contribute to impactful, life-saving work!

• Comprehensive medical, dental, vision, and short-term disability benefits tailored to support our employees and their families.

• Access to Mental Health Services through Cigna, Doctors on Demand, and EAP for ongoing care.

• Earn 4 weeks of vacation per calendar year, increasing to 5 weeks after 2 years of employment.

• Accrue sick leave at the rate of 1 hour for every 30 hours worked.

• Enjoy 9 paid holidays each year.

• Benefit from 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment).

• Participate in a 401(k) retirement savings plan.

• Enjoy a remote-friendly work environment with hardware provided to perform your job duties.