Billing Specialist

Boulder Valley Health Center; Boulder (CO); Hybrid; USD 52,000 - 73,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

403(b) retirement plan

Paid time off

Fitness reimbursement

EAP

Job summary

BVHC is seeking a Billing Specialist to manage all aspects of the patient revenue cycle, including billing, claims submission, posting, collections, and patient account resolution. This role emphasizes accurate, timely processing and compassionate communication with patients regarding billing and payment options.

You will work closely with the Revenue Cycle Manager and other teams to ensure compliance, optimize workflows, and support BVHC’s mission of providing high-quality reproductive health

Qualifications

• 2-3 years of experience in revenue cycle management or medical billing, including coding and insurance billing practices.
• Proficiency with billing software and electronic health record/practice management systems.
• Strong computer skills with Microsoft Office, Excel, Word and Adobe PDF.
• Excellent written, verbal, and interpersonal communication skills.
• Highly organized, detail-oriented, and self-directed.
• Strong analytical and problem-solving abilities with a proactive approach.
• Customer service focused with the ability to interact with patients, staff, and insurance representatives professionally.
• Commitment to reproductive freedom and alignment with the mission of Women's Health.

Responsibilities

• Work collaboratively with internal teams to identify and implement process improvements within the revenue cycle.
• Verify insurance eligibility prior to visits.
• Review and submit clean claims to insurance companies, ensuring compliance with payer requirements.
• Review patient bills for accuracy, resolve discrepancies, and request missing information.
• Enter charges and reconcile Missing Slips with all encounters.
• Investigate denied claims, address claim creation errors, and resolve EHR claim edits and rejections.
• Generate monthly reports for unbilled statements and resolve pending or unbilled encounters.
• Post and reconcile payments from patients, funders, and insurance companies.
• Follow up on outstanding balances, initiate collections, and establish patient payment plans as appropriate.
• Manage and process refunds for patients and insurance carriers on a Monthly basis.
• Answer and return patient calls regarding billing inquiries; take payments over the phone and document all activity in EHR.
• Monitor and process Billing and Fax mailboxes, including scanning EOBs and VCC payments.
• Monitor patient cases and tasks within EHR daily to ensure timely response to patients and providers.
• Collaborate with the other members of the department and organization to meet deadlines and ensure completion of billing checklists.
• Perform other related duties as assigned.

Skills

Revenue cycle

Medical billing

Billing software

EHR systems

Excel

Communication

HIPAA compliance

Education

High school diploma or GED

Tools

Athena EHR

Job description

Are you passionate about providing high-quality reproductive health and family planning services, including abortion care, to patients from within Colorado and across the United States?

Founded in 1973, Boulder Valley Health Center (BVHC) is a small outpatient community clinic that has been a leader in providing reproductive and sexual health services, abortion, and education to all people, including those who face barriers to accessing high-quality and equitable healthcare.

About Us

Founded in 1973, Boulder Valley Health Center (BVHC) is a leader in reproductive and sexual health care within our community. Our mission is to offer accessible, confidential, evidence-based, and compassionate health care, including abortion, family planning, gynecology, gender-affirming care, communityeducationand sexual health support. We strive to make quality health care available to all, particularly those who experience unique barriers to access, such as people who are low-income or uninsured, monolingual Spanish speakers, youth, LGBTQIA+ persons and people with disabilities. BVHC helps create an informed community of people who are empowered to make health-related choices that support vibrant, full lives.

Why work for BVHC?

• We support each other.Our people are passionate about what we do, our services, and our patients. If you are looking for an opportunity to be part of a team that values collaboration, innovation, and dedication, we are the right organization for you.
• Our benefits package includesmedical, vision, and dental insurance, long-term disability coverage, critical care coverage, 403(b) retirement plan with employer match, life insurance, and an Employee Assistance Program. We also offer a competitive annual time off policy of 9 holidays, 6 sick days, and 15 PTO days.

Job Description

The Billing Specialist is responsible for managing all aspects of the patient revenue cycle; including billing, claims submission, insurance payment posting, funding payment posting, collections, and patient account resolution. This role ensures accurate and timely processing of claims, investigates denials, and collaborates with internal teams to improve efficiency and compliance within the billing process. The Revenue Cycle Specialist plays a key role in supporting the financial health of the organization while providing clear and compassionate communication to patients regarding billing and payment options.

Duties and Responsibilities

• Work collaboratively with internal teams to identify and implement process improvements within the revenue cycle.
• Verify insurance eligibility prior to visits.
• Review and submit clean claims to insurance companies, ensuring compliance with payer requirements.
• Review patient bills for accuracy, resolve discrepancies, and request missing information.
• Enter charges and reconcile Missing Slips with all encounters.
• Investigate denied claims, address claim creation errors, and resolve EHR claim edits and rejections.
• Generate monthly reports for unbilled statements and resolve pending or unbilled encounters.
• Post and reconcile payments from patients, funders, and insurance companies.
• Follow up on outstanding balances, initiate collections, and establish patient payment plans as appropriate.
• Manage and process refunds for patients and insurance carriers on a Monthly basis.
• Answer and return patient calls regarding billing inquiries; take payments over the phone and document all activity in EHR.
• Monitor and process Billing and Fax mailboxes, including scanning EOBs and VCC payments.
• Monitor patient cases and tasks within EHR daily to ensure timely response to patients and providers.
• Collaborate with the other members of the department and organization to meet deadlines and ensure completion of billing checklists.
• Perform other related duties as assigned.

General Job Expectations - All staff is expected to:

• Promote a Culture of Quality and Accountability: Adhere to organizational policies, procedures, and clinical guidelines. Take responsibility for accuracy, timeliness, and completeness in all tasks and documentation.
• Support Team Collaboration: Communicate respectfully and effectively with colleagues across departments. Participate actively in team meetings, training, and improvement initiatives.
• Participate in Continuous Improvement: Demonstrate a commitment to ongoing learning and quality enhancement. Share suggestions and feedback that contribute to better patient outcomes and operational efficiency.
• Protect Patient Privacy: Comply with all HIPAA regulations and internal policies related to confidentiality and the protection of patient information.
• Maintain and support a safe environment for patients, staff, and visitors by following established safety protocols and reporting any concerns, recognizing that protecting safety is a shared responsibility for everyone in the clinic.

Required Experience/Skills

• 2-3 years of experience in revenue cycle management or medical billing, including coding and insurance billing practices.
• Proficiency with billing software and electronic health record/practice management systems. (Athena experience aplus!)
• Strong computer skills with advanced proficiency in Microsoft Office, Excel, Word and Adobe PDF.
• Excellent written, verbal, and interpersonal communication skills.
• Highly organized, detail-oriented, and self-directed.
• Strong analytical and problem-solving abilities with a proactive approach.
• Customer service focused with the ability to interact with patients, staff, and insurance representatives professionally.
• Commitment to reproductive freedom and alignment with the mission of Women's Health.

Preferred Qualifications

• Experience working with marginalized communities.
• Bilingual in English and Spanish
• Previous experience with Athena EHR

Education Requirements

• High school diploma or GEDrequired

Physical Requirements

• Ability to hear adequately in person and over the phone.
• Ability to move and lift up to 20 pounds.
• Ability to perform tasks requiring standing, walking, sitting, stooping, kneeling, bending, and climbing stairs with reasonable accommodation.

As part of your employment with BVHC, youmaybe eligible toparticipatein our comprehensive benefits package, which includes:

• Medical, vision, and dental insurance
• Long-term disability and life insurance
• 403(b) retirement plan with employer match
• Fitness reimbursement and Employee Assistance Program (EAP).
• Generous time off, including:
• 9 holidays.
• 1 floating holiday.
• 15 PTO days annually.
• Additionally, you will be guaranteed:
• A 30-minute lunch for any shift exceeding 5 hours.
• Two 10-minute breaks for any shift exceeding 6 hours.

Reports To: Revenue Cycle Manager

Location: Boulder Valley Health Center (BVHC)

Position Type: Full-Time (37-40 hours/week), Non-Exempt /Hybrid

Legal Disclaimer

BVHC is committed to promoting and valuing the unique contributions of each individual, multiculturalism, and belonging in the workplace. We encourage people of all races, ethnicities, abilities, gender identities, and sexual orientations to apply.