Strategic Billing & Revenue Cycle 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

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