Role Description Boulder Care is seeking a Medical Claims & Billing Specialist who will be responsible for all phases of the revenue cycle, from claims submission through payment posting and denied or outstanding claims resolution. You will also work closely with our Enrollment Team to ensure quick resolution to insurance eligibility issues and other patient billing inquiries. You're a great fit if you are detail-driven and organized with a knack for building and maintaining strong relationships with team members and patients alike. Success in this role - Ensure accurate and timely billing of all claims to the appropriate third party payers - Insurance payment posting and account reconciliation - Identifying and correcting billing errors and resubmitting claims to insurance carriers - Research/rectify third party denials/edits, requests for information and other related correspondence - Follow up with patients for outstanding balances, work with them to set up payment plans, or other assistance - Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs Other Responsibilities - 5% - Other duties as assigned by RCM Leadership Qualifications - 5+ years of experience in a healthcare setting specific to billing and accounts receivable - Ability to interpret and apply insurance payer billing guidelines, claim rules, and contract terms - Proficiency in government, commercial and/or insurance payer claims follow-up, denial resolution, and appeals processes - CPT and ICD coding knowledge - Knowledge of ANSI 837 and 835 files, including how to read and interpret - Exceptional written and verbal communication - Team-focused; effective collaboration. Serves both the team and the customer 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 - Nice to have but not required: Experience with multiple payers - Experience with payment plans and financial assistance applications Work Environment This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, FL, GA, ID, IL, KY, MA, NC, NJ, NV, NY, OH, OR, PA, SC, TN, TX, UT, WA, and WV. Applicants must reside and work in one of those states to be considered. Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like. Expected Hours of Work This is a full-time remote position expected to work 40 hours between Monday-Friday with an 8:30am start time, wiggle room 30 min each way. Compensation The starting pay range for this position is $26 - $29 per hour; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave). Hiring Timeline - Phone interview - 30 min - Panel interview - 60 min video - Anticipated start date - late June or early July 2026 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 Our Values - Patients always come first - Our opportunity is also our duty - Move the industry forward, follow the data - Facts to change minds, empathy to change hearts - Turn bold ideas into even bolder action - Strong individuals, stronger together Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply. Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!

• Responsible for assigning ICD-10-PCS diagnostic and procedural codes to patient accounts • Codes and abstracts hospital medical records for maintenance of disease indices • Ensures compliance with federal, state and other regulatory agencies • Resolves error reports associated with billing process • Assists in design and implementation of workflow changes to reduce billing errors

• Codes and abstracts professional fee hospital services from medical records according to guidelines • Utilizes 3M Encoder for validation of RVUs and procedure unbundling • Maintains a 95% coding accuracy rate

• Billing Data Entry involved which requires 10 key skills • Compare data with source documents and enter billing information provided • Research missing or incorrect information • Verification of insurance information • Ensure daily/weekly billing activities are completed accurately and timely • Research and update billing demographic data to ensure prompt payment from insurance • Communication through phone calls with clients and patients to resolve billing defects