Insurance Verification and Patient Support Specialist

Stellenbeschreibung:

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

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