Role Description In coordination with the department supervisor, the Insurance Verification and Patient Support Specialist is responsible for overseeing the frontend billing process for patients, including eligibility verification and patient insurance updates. You will cross collaborate across departments to ensure quick resolution to eligibility issues, prior authorizations and other patient billing inquiries.

• Verify insurance eligibility and benefits for all new Boulder Care commercial enrollments
• Convey policy benefit and eligibility information to patients in a comprehensive and professional manner
• Answer incoming questions from Boulder patients around balances due, non-covered charges, etc.
• Assist our Enrollment Specialist and Care Navigator teams with difficult insurance verification details for newly enrolled and established patients
• Act as first point of contact for incoming patient messages, as well as internal requests for support
• Maintain ongoing dated eligibility checks for accurate billing and clean claims
• Collaborate with other teams to assist with patients who have lapsed coverage and need temporary financial assistance
• Serve as subject matter expert for internal insurance training
• Help develop and maintain standard processes that keep insurance data accurate and up to date in our EHR
• Identify and correct billing errors and resubmit claims to insurance carriers
• Research/rectify third party denials/edits, requests for information and other related correspondence
• Act as a key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs

Qualifications

• 3-5 years of experience in a healthcare setting specializing in billing, insurance verification, and accounts receivable
• Strong focus on helping patients understand their coverage and financial responsibilities
• CPT and ICD coding knowledge
• Ability to communicate with patients clearly and compassionately to support a positive care experience
• Team-oriented; serves both the team and the patient at a consistently high level
• Demonstrates problem-solving and analytical skills appropriate for the position
• Demonstrates high ethical standards of behavior
• Maintains composure under pressure
• Regularly demonstrates Boulder’s core values

Requirements

• This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, ID, NV, OR, UT, WA
• Applicants must reside and work in one of those states to be considered
• Applicants must be authorized to work for any employer in the U.S.
• Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet
• Expected hours of work: This is a full-time remote position expected to work 40 hours between Monday-Friday
• Must be able to work a shift of 8:30am to 5pm or 9am to 5:30pm Mountain or Pacific Time

Benefits

• Contribution to meaningful, life-saving work!
• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via Cigna, Doctors on Demand, and EAP for continuous care
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties

Company Description

Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care. We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most. Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.