Medical Insurance and Billing Specialist

Requisition Number

72403

Location

Boulder, Colorado

Employment Type

University Staff

Schedule

Full Time

Posting Close Date

14-Jun-2026

Job Summary

The University of Colorado Boulder invites applications for a Medical Insurance & Billing Specialist! This role will complete billing claims accurately and in a timely manner to receive reimbursement for services. In collaboration with Medical Operations and Compliance, this position is responsible for collecting clinical, demographic, and insurance data necessary to complete a claim. The role works with insurance companies, clearinghouse, and other outside entities to coordinate billing and reimbursement and will follow up on claims not paid and/or denied. The role accurately posts reimbursement in the electronic billing system and follows up when reimbursement is inaccurate or incomplete.

The position provides excellent customer service for patients by answering questions about insurance processing or status of a claim. This includes assisting students with questions and claims issues and reviewing, evaluating and updating claim payments reflected by the student insurance plan. The role will review medical records and charges and determine if it is necessary to contact insurance companies to discuss the type of plan the student has. The position should understand insurance terms and how to interpret an explanation of benefits.

The position provides 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 position assists students with understanding their health insurance options, including coverage details, benefits, and out of pocket costs. The role actively promotes and sells the campus student health insurance plans to students and their families, engaging with students during orientations, campus events, and through direct communication to encourage enrollment in the campus student health insurance plans.

Who We Are

The Division of Student Life consists of 36 departments that provide student support and services dedicated to helping students become successful, curious, competent individuals during their time at CU Boulder.

Medical Operations and Compliance staff in Health and Wellbeing 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!

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 claims.

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 related to student billing.
• Check insurance payments for accuracy and compliance with contracts.
• Work with payer regarding any discrepancy 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 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 on insurance processes and requirements; including 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 role has the ability to work in a hybrid work modality. 3 days will be required to be in person, and 2 days a week can be remote if desired. This position has an anticipated work schedule of Monday - Friday during regular business hours.

What We Can Offer

The salary for this position is $54,000 annually.

Benefits

At the University of Colorado Boulder, we are committed to supporting the holistic health and well-being of our employees. Our comprehensive benefits package includes medical, dental, and retirement plans; generous paid time off; tuition assistance; and an ECO Pass for local transit.

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 will substitute for the required experience.

What You Will Need

• Basic insurance billing knowledge.
• Excellent customer service skills.
• Ability to contact insurance companies to discuss the type of plan the patient has.
• Able to make decisions related to posting medical charges.

Special Instructions

To apply, please submit a current resume. An optional cover letter is encouraged. Please apply by June 14, 2026, through the CU Boulder Jobs portal. In compliance with the Colorado Job Application Fairness Act, you may redact age-identifying information from your materials.