Customer Specialist

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Boldr

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Boldr is a global company that specializes in managed outsourcing and global employment services. The company prides itself on being a certified B Corporation, focusing on ethical outsourcing by building teams that are an extension of the client's brand. Boldr provides a wide array of services including customer experience support, engineering, data, and technical services, primarily targeting industries such as eCommerce and SaaS. It is committed to creating circular value for its clients, careers of its team members, and the communities it operates in, aligning with principles of social sustainability and impact. With a strong emphasis on creating a sense of purpose and belonging, Boldr offers expertise in global recruiting, onboarding, and performance management, supporting over 100 client partners globally.

📋 Description

• Verify insurance: Conduct timely and accurate eligibility checks and benefit investigations through payer portals and phone outreach to ensure claims are submitted correctly from the start • Submit and track: Enter and monitor DME claims across multiple platforms, troubleshoot billing issues, and proactively follow up to reduce denials and accelerate reimbursement • Review and resolve: Analyze explanation of benefits (EOBs) for errors, missing payments, or misapplied patient responsibility, then determine and execute the correct resolution path • Draft and submit: Write detailed, well-supported appeals that address denial reasons clearly and improve chances of successful claim recovery • Investigate and escalate: Work aging reports weekly to identify unpaid or incorrectly paid claims, collaborate with payers or escalate internally as needed to drive resolution • Communicate clearly: Provide clear and empathetic responses to patients with billing questions, helping them understand their benefits and out-of-pocket costs without confusion • Collaborate cross-functionally: Work with Billing teammates, Customer Experience, Fulfillment, and cross-functional partners to identify process gaps and improve billing operations end to end • Leverage AI: Use AI-enabled tools that assist with eligibility, claims validation, and documentation to improve efficiency while maintaining billing accuracy and compliance • Support families: Ensure timely access to medically necessary DME by reducing billing friction, shortening reimbursement cycles, and ensuring every claim is processed with care Role Expectations

🎯 Requirements

• 3+ years of direct experience in DME billing and insurance reimbursement, managing the full claim lifecycle from eligibility verification through appeals and collections. • Confidence reviewing EOBs, identifying payment discrepancies, denials, and adjustments, and taking appropriate follow-up action with minimal oversight. • A working understanding of CPT, HCPCS, ICD-10, and relevant DME billing regulations such as HIPAA, CMS, and ERISA, applied accurately in your daily work. • Strong written communication and interpersonal skills, able to explain complex billing issues clearly and professionally to patients, internal teams, and payers. • Confidence to ask questions when unsure about something or flag issues to the appropriate teams. • Proficiency in CRM/billing software and customer service platforms (NikoHealth, Zendesk, Slack). • Strong knowledge of cloud-based applications (Google Drive, Google Sheets, Google Docs) and MS Office applications. • A team-first mentality with high attention to detail and a proven ability to produce high-quality work consistently, even at high volume. • Openness to using AI tools that improve workflow efficiency and accuracy, and willingness to adapt as the team adopts new technologies.