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Medical Billing Specialist

Employer
University of Colorado Boulder
Location
Colorado, United States
Salary
Salary Not Specified
Posted Date
Oct 3, 2022

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Position Type
Faculty Positions, Health & Medicine, Medicine, Administrative, Business & Administrative Affairs, Financial Affairs, Student Affairs, Health Services
Employment Type
Full Time
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Job Summary

The University of Colorado Boulder invites applications for a Medical Billing Specialist! This role is responsible for the medical billing for patient services obtained by students in the Student Health Center.

The position is responsible for completing billing claims accurately, completely, and timely to receive reimbursement for services. In collaboration with Administrative Services, the incumbent is responsible for collecting clinical, demographic, and insurance data necessary to complete a claim. The role works closely with insurance companies, clearinghouse, and other outside entities to coordinate billing and reimbursement and to follow up on claims not paid and/or denied. The Billing Specialist is responsible for accurately posting reimbursement in the electronic billing system and for following up when reimbursement is inaccurate or incomplete.

This position provides excellent customer service for patients by answering questions about insurance processing or status of a claim. This includes, but is not limited to, assisting students with their questions and claims issues as well as reviewing, evaluating and updating claim payments reflected by the student insurance plan. The Specialist will review medical records and charges to determine if it is necessary to contact insurance companies to discuss the type of plan the student has.

The University of Colorado Boulder is committed to building a culturally diverse community of faculty, staff, and students dedicated to contributing to an inclusive campus environment. We are an Equal Opportunity employer, including veterans and individuals with disabilities.

Who We Are

Medical Services staff understand and are committed to the unique health concerns of our student population, making us an unparalleled source of advocacy for student wellness. We provide a comprehensive range of health care services in several on-campus locations. The Wardenburg Medical Clinic provides a wide range of services for students including: primary care for illnesses and injuries, as well as chronic conditions, physicals, sexually transmitted infection testing and treatment, allergy shots, vaccinations, travel health care, and concussion care.

What Your Key Responsibilities Will Be

Billing and Managing Payment Accuracy
  • Complete and submit claims to insurance or payer using Navicure software.
  • Verify insurance eligibilities prior to completion to ensure claim acceptance.
  • Verify completeness and accuracy of all claims prior to submission.
  • Work closely with Administrative units and providers to collect data needed for claim.
  • Accurately post all insurance payments by line item.
  • Work with the University Bursar office for assigned charges.
  • Use monthly aging accounts receivable reports to follow up on unpaid claims according to billing cycle time frames.
  • Correct errors made by payee or identified through clearing house.
Insurance Support
  • Read and interpret insurance explanation of benefits (EOB) related to student billing.
  • Check insurance payments for accuracy and compliance with contracts.
  • Work with payer regarding any discrepancy in payments if necessary.
  • Follow up on insurance claim denials, exceptions, or exclusions.
  • Contact insurance companies if claims are inaccurate and determine if claim can be reprocessed with additional information.
Customer Service
  • Provide excellent customer service to patients, insurance, and staff while following HIPPA guidelines when discussing payments, adjustments, or denials.
  • Assist patients and staff by educating them on insurance processes and requirements, including the student health insurance plans.
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc as requested by insurance companies.
  • Respond to inquiries from insurance companies, patients, and providers.
  • Confer with Assistant Director to discuss and resolve reimbursement issues or billing obstacles.
  • Use reports, dashboards, and benchmarks for trending.
What You Should Know
  • All University of Colorado Boulder employees are required to follow the campus COVID-19 vaccine requirement . New employees must provide proof of vaccination or receive a medical or religious exemption within 30 days of employment.
  • This full time position's anticipated work schedule is Monday through Friday, 8:00 am - 5:00 pm.
  • This position will be in a hybrid work modality, with in-person training required.
What We Can Offer
  • The annual salary range for this position is $46,000 – $47,196.
Benefits

The University of Colorado offers excellent benefits , including medical, dental, retirement, paid time off, tuition benefit and ECO Pass. The University of Colorado Boulder is one of the largest employers in Boulder County and offers an inspiring higher education environment. Learn more about the University of Colorado Boulder .

Be Statements
Be engaged. Be impactful. Be Boulder.

What We Require
  • Two years of experience in an occupational field related to the work assigned to the position.
  • Certification related to the work assigned to position will substitute for the required experience.
  • Appropriate education will substitute for the required experience on a year-for-year basis.
What You Will Need
  • Basic insurance billing knowledge.
  • Customer service skills.
  • Ability to contact insurance companies to discuss a patient's type of plan.
  • Make decisions related to posting medical charges.
What We Would Like You To Have
  • Medical Billing Certification and/or 2 years equivalent experience.
  • Coding knowledge and experience in medical office billing.
  • Strong background with Electronic Medical Record’s and medical terminology.
Special Instructions

To apply, please submit the following materials:

  1. A current resume.
  2. A cover letter that specifically tells us how your background and experience align with the requirements, qualifications, and responsibilities of the position.


We may request references at a later time.

Please apply by October 24, 2022 for consideration.

Note: Application materials will not be accepted via email. For consideration, please apply through CU Boulder Jobs.

Posting Contact Information

Posting Contact Name: Boulder Campus Human Resources

Posting Contact Email: Recruiting@colorado.edu


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