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On Call Medical Insurance & Billing Specialist

Position Number: 6329316
Location: Boulder, CO
Position Type: Health - Healthcare Administration

On Call Medical Insurance & Billing Specialist

Requisition Number: 65490
Location: Boulder Colorado
Employment Type: University Staff
Schedule:
Posting Close Date: 27-Jun-2025
Date Posted:

Job Summary

The University of Colorado Boulder is searching for a Medical Insurance & Billing Specialist! Under the direction of the Assistant Director for Billing & Coding, this role is responsible for completing billing claims accurately, completely, and timely to receive reimbursement for services. In collaboration with Administrative Services, the role collects clinical, demographic, and insurance data necessary to complete a claim. The position works closely with insurance companies, clearinghouse, and other outside entities to coordinate billing and reimbursement and to follow up on claims not paid and/or denied. The role is responsible for accurately posting reimbursement in the electronic billing system and for follow up when reimbursement is inaccurate or incomplete.The position provides customer service for patients by answering questions about insurance processing or status of a claim. This includes assisting students with questions and claims issues as well as reviewing, evaluating and updating claim payments reflected by the student insurance plan. The position reviews medical records and charges and determines if it is necessary to contact insurance companies to discuss the type of plan the student has. The role should understand the insurance terms and how to interpret an explanation of benefits (EOB).The position will provide clear expectations of policy details to students, faculty, and staff, helping them understand coverage limitations, eligibility criteria, and benefits of our campus student health insurance plans Gold and BuffCare. The role interprets and applies health insurance policies to ensure students and our institution follow relevant laws and legislation. The role assists students with understanding their health insurance options, including coverage details, benefits, and out of pocket costs, and actively promotes and sells the campus student health insurance plans Gold and BuffCare to students and their families. The position will engage with students during orientations, campus events, and through direct communication to encourage enrollment in the campus student health insurance plans Gold and BuffCare.
CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

Who We Are

Administrative Services staff in Health and Wellness understand and are committed to the unique health concerns of our student population, making us an unparalleled source of advocacy for student wellness at CU Boulder! The Wardenburg Medical Clinic provides a wide range of health care services for students including: primary care for illnesses and injuries, as well as chronic conditions, physicals, sexually transmitted infection testing and treatment, allergy shots, vaccinations, travel health care, and concussion care.

What Your Key Responsibilities Will Be

Billing

Complete and submit claims to insurance or payer using Navicure software.
Verify insurance eligibilities prior to completion to ensure claim acceptance.
Verify completeness and accuracy of all claims prior to submission.
Work closely with Administrative units and providers to collect data needed for claim.

Manage Payment Accuracy

Accurately post all insurance payments by line item.
Work with the University Bursar office for assigned charges.
Use monthly aging accounts receivable reports to follow up on unpaid claims according to billing cycle time frames.
Correct errors made by payee or identified through clearing house.

Insurance Support

Read and interpret insurance explanation of benefits (EOB) related to student billing.
Check insurance payments for accuracy and compliance with contracts.
Work with payer regarding discrepancies in payments if necessary.
Interpret insurance policy.
Assist students in understanding their benefits for commercial and/or campus insurances.
Actively promote and sell campus insurances by engaging in campus events, orientations, and through direct communication.

Denials

Follow up on insurance claim denials, exceptions, or exclusions.
Contact insurance companies if claims are inaccurate and determine if claim can be reprocessed with additional information.

Customer Service

Provide excellent customer service to patients, insurance, and staff while following HIPPA guidelines when discussing payments/adjustments/denials.
Assist patients and staff by educating them to insurance processes and requirements, including the student health insurance plans.
Make necessary arrangements for medical records requests, completion of additional information requests, etc as requested by insurance companies.
Respond to inquiries from insurance companies, patients, and providers.
Confer with Assistant Director to discuss and resolve reimbursement issues or billing obstacles.
Use reports, dashboards, and benchmarks for trending.

What You Should Know

This position will work variable hours to be completed within the Wardenburg Medical Center's normal business hours of Monday - Friday, 8 am - 5 pm.This role is not expected to work University recognized holidays or evenings and will work in a hybrid work modality, with both in-person and remote days.

What We Can Offer

The pay for this position is $25.00 per hour.

Benefits

The University of Colorado offers excellent benefits, including medical, dental, retirement, paid time off, tuition benefit and ECO Pass. The University of Colorado Boulder is one of the largest employers in Boulder County and offers an inspiring higher education environment. Learn more about the University of Colorado Boulder.

Be Statements

Be adaptable. Be impactful. Be Boulder.

What We Require

Two years of relevant professional experience. Appropriate education will substitute for the required experience on a year-for-year basis.
Certification related to the work assigned to position can substitute for the experience.

What You Will Need

Basic insurance billing knowledge.
Customer service skills.
Ability to contact insurance companies to discuss the type of plan the patient has.
Make decisions related to posting medical charges.

Special Instructions

To apply, please submit the following materials:

A current resume.
Optional: A cover letter that specifically tells us how your background and experience align with the requirements, qualifications, and responsibilities of the position.

We may request references at a later time.

Please apply by June 27, 2025 for consideration.
Note: Application materials will not be accepted via email. For consideration, please apply through CU Boulder Jobs.

In compliance with the Colorado Job Application Fairness Act, in any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

To apply, visit https://jobs.colorado.edu/jobs/JobDetail/On-Call-Medical-Insurance-Billing-Specialist/65490