Medical Biller

Job Posting: Business Office Representative (Medical Biller)
Location: Boulder, CO (Onsite)
Positions Available: 2 (1 Full-Time, 1 Part-Time)

Are you an experienced medical biller looking to make an impact in a dynamic healthcare setting? We are currently seeking a Business Office Representative (Medical Biller) to join our team. We have openings for both full-time and part-time roles. If you have experience with UHG, BCBS, and Cigna claims, and are ready to work in a fast-paced environment, we want to hear from you!

Position Details:

• Hours: 40 hours per week
• Schedule: Monday to Friday, 8:00 AM - 5:00 PM

• Hours: 20 hours per week
• Schedule: 2 full 8-hour shifts and a half-day, OR 3 full 7-hour shifts

Key Responsibilities:

• Handle UHG claims (main priority), with BCBS and Cigna experience a plus
• Send claims both electronically and by paper
• Manage corrected claims, including denials, appeals, and reconsiderations
• Utilize Epic EMR system for claims processing
• Maintain and reconcile accounts using the Accounts Receivable system
• Review insurance claim forms, make necessary corrections, and submit to carriers
• Maintain accurate claim documentation and report errors
• Handle aged trial balance, claim worklists, untagged claims, insurance overpayments, and more
• Process claims efficiently, ensuring clean claims and expedited payment
• Maintain excellent communication with patients, carriers, and coworkers

Qualifications:

• High School Diploma or equivalent
• 1+ years of experience as a medical biller
• 1-2 years of health insurance experience
• Ability to send claims electronically and by paper
• Experience with corrected claims
• Excellent attention to detail and communication skills
• Tact, patience, and a pleasant telephone manner
• Basic math aptitude and computer experience

• Epic EMR experience
• Experience with denials, appeals, and reconsiderations
• Knowledge of UHG, BCBS, and Cigna claims

Training and Development:

• Epic Training: 2 weeks of Epic courses (mandatory for both FT and PT roles)
• Workplace Shadowing: Following training, you will shadow colleagues to ensure a smooth workflow
• Schedule for Training: 8:00 AM - 5:00 PM for the first 2 weeks (even for PT role)

Compensation:

• Hourly Rate: $18-23/hour (commensurate with experience)
• Attire: Business Casual

Metrics & KPIs:

• 100-120 calls per day (group target)
• 30-40 claims processed per day

Why Join Us?

• Be part of a supportive team focused on your professional growth
• Gain valuable experience with top insurance payers in the industry
• Work in a flexible, dynamic environment with opportunities for advancement

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.