Medical Billing Specialist
2 weeks ago
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Job Summary
The University of Colorado Boulder is searching for a Medical Billing Specialist The position is responsible for the medical billing for patient services acquired by students in the Student Health Center. The role is responsible for completing billing claims accurately, completely, and timely to receive reimbursement for services. In collaboration with Administrative Services, the role is responsible for collecting clinical, demographic, and insurance data necessary to complete a claim.
The position works closely with insurance companies, clearinghouse, and other outside entities to coordinate billing and reimbursement and to follow up on claims not paid or denied, as well as accurately posting reimbursement in the electronic billing system and following up when reimbursement is inaccurate or incomplete.
The role provides excellent customer service for patients by answering questions about insurance processing or status of a claim. This includes assisting students with questions and claims issues and reviewing, evaluating, and updating claim payments reflected by the student insurance plan. The position will review medical records and charges and determine if it is necessary to contact insurance companies to discuss the type of plan the student has. An understanding of the insurance terms and how to interpret an explanation of benefits (EOB) is needed.
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
Administrative Services staff in Health and Wellness understand and are committed to the unique health concerns of our student population, making us an unparalleled source of advocacy for student wellness at CU Boulder The Wardenburg Medical Clinic provides a wide range of health care 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
* 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.
Manage Payment Accuracy
* 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 EOB related to student billing.
* Check insurance payments for accuracy and compliance with contracts.
* Work with payer regarding any discrepancy in payments if necessary.
Denials
* 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/denials.
* Assist patients and staff by educating them on insurance processes and requirements, including 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
The anticipated work schedule for this position is Monday - Friday, 8 am - 5 pm. This role is not expected to work University recognized holidays or evenings and will not be on call at any time.
What We Can Offer
The salary for this role is $47,380 annually.
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 innovative. Be resourceful. Be Boulder.
What We Require
* Two years of experience in an occupational field related to the work assignment. Appropriate education can substitute for experience on a year-for-year basis.
* Certification related to the work assigned to position will substitute for the required experience.
What You Will Need
* Basic insurance billing knowledge.
* Customer Service skills.
* Ability to contact insurance companies to discuss the type of plan the patient has.
* Ability to 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 a medical office billing.
* Good background with Electronic Medical Record's and medical terminology.
Special Instructions
To apply, please submit the following materials:
* A current resume.
* Optional, but highly encouraged: A cover letter that specifically tells us how your background and experience align with the requirements, qualifications, and responsibilities of the position.
* Optional: Copy of degree.
We may request references at a later time.
Please apply by May 12, 2024, 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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