Overview

Billing Specialist Billing Specialist 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, community education and 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 includes medical, 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 policie