Medical Billing Specialist Boulder, Colorado | Full-Time, 37–40 Hours/Week | Hybrid | Non-Exempt Pay Range: $23–$25/hour This is a hybrid position based in Boulder, Colorado and requires weekly in-person work at Boulder Valley Health Center. Candidates must be able to reliably commute to our Boulder clinic. Join a Mission-Driven Healthcare Team Are you an experienced medical billing professional looking for work where your skills directly support access to healthcare? Boulder Valley Health Center (BVHC) is seeking a Medical Billing Specialist to support the full patient revenue cycle; including insurance verification, claims submission, payment posting, denial management, accounts receivable, collections, and patient account resolution. This position is ideal for someone who is detail-oriented, analytical, comfortable working independently, and committed to providing excellent service to patients while helping strengthen the financial health of a nonprofit healthcare organization. About BVHC Founded in 1973, Boulder Valley Health Center is a nonprofit outpatient community health center providing reproductive and sexual healthcare to people in Colorado and across the United States. Our services include abortion care, family planning, gynecologic care, gender-affirming care, sexual health services, and community education. We are committed to providing accessible, confidential, evidence-based, and compassionate healthcare, particularly for people who experience barriers to accessing care. Why Work at BVHC? At BVHC, your work has a direct connection to our mission and the patients we serve. We are a small, collaborative organization where employees have the opportunity to make an impact, improve systems, and work closely with colleagues across departments. Benefits and perks include: - Medical, dental, and vision insurance
- 403(b) retirement plan with employer match
- Employer-sponsored life and long-term disability insurance
- Employee Assistance Program
- Fitness reimbursement
- 15 PTO days annually
- 6 sick days
- 9 paid holidays
- 1 floating holiday
- Hybrid work environment
- Collaborative, mission-driven team
- Opportunities to contribute to process improvement and organizational growth
- Meaningful work supporting reproductive and sexual healthcare access
What You'll Do As our Medical Billing & Specialist, you will manage key components of the patient revenue cycle from insurance verification through payment resolution. Responsibilities include: - Verify patient insurance eligibility and benefits prior to visits.
- Review charges and encounters for accuracy and completeness, including resolving missing, pending, or unbilled encounters.
- Prepare and submit clean insurance claims in accordance with payer requirements.
- Monitor and resolve claim edits, rejections, denials, underpayments, and other billing errors within the EHR/practice management system.
- Post and reconcile payments from insurance companies, patients, and funding programs, including EOBs, electronic payments, virtual credit card payments, and refunds.
- Follow up on accounts receivable (A/R), outstanding insurance balances, and patient balances.
- Establish patient payment plans and assist with collections when appropriate.
- Respond professionally and compassionately to patient billing questions by phone and through the EHR, maintaining accurate documentation of all account activity and communication.
- Monitor billing-related EHR tasks, work queues, fax inboxes, and other revenue cycle workflows to ensure timely follow-up.
- Generate and review billing reports to identify unresolved accounts, trends, and opportunities for improvement.
- Collaborate with the Revenue Cycle Manager and other departments to meet billing deadlines and improve billing accuracy, workflow efficiency, and reimbursement.
What We're Looking For Required Qualifications - 2–3 years of professional experience in medical billing, healthcare revenue cycle, or a closely related field
- Hands-on experience with insurance billing, claims submission, payment posting, denial resolution, accounts receivable, and payer follow-up
- Working knowledge of medical billing and coding processes, payer requirements, and reimbursement workflows
- Experience using an EHR, practice management system, clearinghouse, or medical billing software
- Strong computer skills, including Microsoft Excel, Word, and PDF/document management
- Strong attention to detail, organization, and accuracy, with the ability to manage priorities, follow up on unresolved issues, and meet deadlines independently
- Strong analytical, research, and problem-solving skills
- Clear and professional written, verbal, and interpersonal communication skills, with a compassionate customer service approach when working with patients, insurance representatives, and coworkers
- Ability to maintain patient confidentiality and comply with HIPAA requirements
- High school diploma or GED
- Commitment to BVHC's mission and to providing comprehensive reproductive and sexual healthcare, including abortion care
Preferred Qualifications - Experience with Athenahealth/Athena EHR
- Experience working in an outpatient clinic, medical practice, community health center, or nonprofit healthcare organization
- Experience serving diverse or historically underserved patient populations
- Bilingual English/Spanish skills
What Success Looks Like A successful person in this role is someone who: - Notices discrepancies and follows them through to resolution.
- Understands that accurate billing supports both patients and the sustainability of the organization.
- Can balance productivity with accuracy and compassionate patient communication.
- Takes ownership of their work and proactively identifies problems.
- Enjoys collaborating with a small team and improving systems and processes.
Physical Requirements With or without reasonable accommodation, this position may require the ability to: - Communicate effectively in person and by telephone.
- Sit and work at a computer for extended periods.
- Stand, walk, bend, stoop, kneel, and climb stairs.
- Move or lift items weighing up to 20 pounds.
Reports to: Revenue Cycle Manager Position: Full-Time, 37–40 hours/week Classification: Non-Exempt Work Arrangement: Hybrid, with regular on-site work required in Boulder, Colorado Compensation: $23–$25/hour Our Commitment to Belonging BVHC values the unique contributions of every individual and is committed to fostering a workplace rooted in inclusion, multiculturalism, and belonging. We encourage qualified candidates of all races, ethnicities, abilities, gender identities, sexual orientations, and backgrounds to apply.
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