Insurance Card Specialist (Full-time) - Multi-Specialty Outpatient Clinic (Boulder, CO) - Boulder Medical Center
Boulder, CO 80304
About the Job
Do you enjoy working with friendly and helpful people in a positive work environment? Are you ready to embrace a career that offers a variety of learning opportunities? Are you looking to make a positive impact on peoples' lives in our community?
Consider a career at Boulder Medical Center (BMC). We are 100% privately owned and Physician operated, we provide care in over 20 different specialties, have 90+ providers practicing today, we employ 325+ Healthcare Professionals, and we have locations through-out Boulder County, CO.
Summary:
- Full-time employees are eligible for medical / dental / vision, flexible spending, company-paid life insurance and Short Term Disability (STD) as well as several voluntary benefit options, RTD EcoPass, 401(k), Paid Time Off (PTO) and six (6) paid holidays annually.
- Part-time employees are eligible for medical / dental / vision, company-paid life insurance, voluntary benefits, RTD EcoPass, 401(k), and holiday pay (if regularly scheduled to work on an observed holiday).
- Day shift schedules are Monday through Friday. There are occasional voluntary four (4) hour shifts on Saturday mornings from 8 am - 12 pm for several primary clinics (Family Medicine and Pediatrics).
- Experience working in both primary care and specialty care clinics.
- Explains the different types of insurance coverage to patients and co-workers. Establishes and maintains a working knowledge of BMC contract insurance carriers and their billing requirements, as needed.
- Establishes and maintains a working knowledge of the Accounts Receivable system. Understands and uses appropriate forms for charges, adjustments, payments, error corrects, error removals, balance transfers, refunds, refund reversals, and communications forms. Able to reconciles account balances by financial class, able to print ledgers and claim forms, explain statement and insurance processing along with their related computer screens to patients, carriers and co-workers.
- Understands the patient registration process. Uses chart/account alerts to capture accurate patient/account information and consistently updates or creates the account, patient and insurance records in a timely manner.
- Consistently uses account notes to document patient status/conversations and chart notes to document claim progress.
- Ensures timely and accurate processing of charge sheets. Reviews documents, makes corrections or additions and delivers charges to medical billing within established guidelines.
- Receives insurance claim forms. Accurately reviews forms for discrepancies and errors. Makes appropriate changes or additions in a timely manner and submits claim forms to carriers. Shows consistent effort in maintaining clean claims and constantly attempts to expedite the payment process. Understands claim type codes.
- Consistently documents errors and changes made to account transactions and notifies appropriate personnel when consistent errors are found in the claims review process.
- Covers the Business Office reception desk when called upon. Understands the BMC Credit and Payment Policy, able to take a credit card payment, co-pay or prepayment.
Keyword: Coding, Auditor, Billing, Coding Auditor, AAPC
Required Experience:
- Must be knowledgeable about insurance rules and regulations to collect insurance payments.
- Must be able to analyze detailed breakdown of applicable insurance coverage and use judgment and initiative in researching questionable charges and coverage.
- Must be a current BMC Employee
Education:
- High school graduate. Course in Medical Terminology helpful.
Previous Experience:
- 1-2 years Health Insurance experience or equivalent background.
Salary ranges:
- $16.69 - $21.70 / per hour depending on experience
This job will be posted for a minimum of three (3) days, subsequently until filled.
- Boulder, CO. This is position works in the Office and is not remote.
Benefits:
BMC offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and STD as well as voluntary benefits, RTD EcoPass, 401(k), Paid Time Off and 6 paid holidays annually. Part-time employees are eligible for medical/dental/vision, company-paid life insurance, voluntary benefits, RTD EcoPass, and 401(k).
From: Boulder Medical Center