Medical Billing Representative (Full-time) (Boulder, CO)

Job Description

Job Description

Want to work in healthcare but not be a nurse? Medical billing is a great fit for detail-oriented, organized professionals—especially if you're transitioning from bedside care, corporate insurance, or exploring a career change. Join a supportive team, enjoy stable hours, and make an impact behind the scenes—no night shifts or weekends required. Apply today to join Boulder Medical Center (BMC)!

BMC is a local, independent, and physician-owned medical group with over 20 primary and specialty care departments, 90 providers, and 325+ clinical and support professionals. Since our founding by 10 physicians in 1949, we have grown and evolved to meet the needs of Boulder County and beyond.

We currently have clinics located in Boulder (2 locations), Louisville, Longmont, and Erie.

Summary:

Boulder Medical Center is seeking customer service-oriented candidates to join our medical billing team as a Business Office Representative! This full-time, benefit-eligible position offers 40 hours per week, Monday through Friday.

In this role, you will serve as a medical billing specialist, responsible for managing patient billing inquiries and ensuring the timely and accurate processing of insurance claims working closely with United Healthcare and Blue Cross Blue Shield Insurance plans. The ideal candidate will have experience with medical billing software, a strong understanding of insurance procedures, and excellent communication skills. If you are dedicated to delivering exceptional customer service and have a passion for healthcare administration, we'd love to hear from you!

Job Perks:

• Full-time employees are eligible for:
• Medical / dental / vision, flexible spending
• Company-paid life insurance as well as several voluntary benefit options
• 401(k)
• Paid Time Off (PTO)
• Six (6) paid holidays annually.

Job Duties:

• Establishes and maintains a working knowledge of the Accounts Receivable system. Understands and uses appropriate forms for charges, adjustments, payments, error corrects, error removals, balance transfers, refunds, refund reversals, and communications forms.  Able to reconciles account balances by financial class, able to print ledgers and claim forms, explain statement and insurance processing along with their related computer screens to patients, carriers and co-workers.
• Ensures timely and accurate processing of charge sheets. Reviews documents, makes corrections or additions and delivers charges to medical billing within established guidelines.
• Receives insurance claim forms. Accurately reviews forms for discrepancies and errors. Makes appropriate changes or additions in a timely manner and submits claim forms to carriers. Shows consistent effort in maintaining clean claims and constantly attempts to expedite the payment process. Understands claim type codes.
• Consistently documents errors and changes made to account transactions and notifies appropriate personnel when consistent errors are found in the claims review process.
• Receives, reviews and maintains files of current EMR reports. Works aged trial balance, claim worklists, untagged, insurance overpayment, prepayment, unapplied payments, claim acknowledgement, claim rejects, and other daily/weekly reports as deemed appropriate.

• Accurate typing & computer experience as well as basic math aptitude
• Detail oriented
• Patience - Tact - Pleasant telephone voice and manner
• Ability to initiate correspondence using appropriate grammar, etc.

Education:

• High school diploma or equivalent required. Course in Medical Terminology, Business, or Accounting helpful. 

Previous  Experience:

• 1-2 years Health Insurance experience or equivalent background. 
• Preference on experience with United Healthcare (UHC) and/or Blue Cross Blue Shield (BCBS)

The starting hourly pay range for this position is commensurate with experience:

• $17.19 - $22.92/hour (full pay range is $17.19 - $25.79)

This position will be posted for a minimum of three days, subsequently until filled.

Location:

• Boulder, CO