Medical Billing & Claims Specialist
About the job
- A minimum of five years of professional experience in medical billing, revenue cycle management, claims processing, or a closely related healthcare reimbursement function is required.
- Demonstrated experience reviewing and resolving medical billing and claims issues, including appeals, Explanation of Benefits, and health plan benefit application is required.
- Experience reading, interpreting, and analyzing Summary Plan Descriptions or comparable health plan documents is required.
- Strong knowledge of healthcare reimbursement processes, including the ability to identify and address common billing and claims errors, is required.
- Written and verbal communication skills to clearly explain complex billing, claims, and benefit information to individuals without a billing background are required.
- Proficiency with Microsoft Office applications or comparable tools used for document review, analysis, and reporting is required.
- The position is in person at the downtown Denver office at 18th & Broadway.
- Review Explanation of Benefits, itemized bills, and billing statements to identify potential errors, including upcoding, balance billing, and incorrect benefit application.
- Interpret Summary Plan Descriptions and other health plan documents to verify benefits and coverage.
- Investigate billing and claims discrepancies and determine appropriate next steps.
- Advocate for patients by working with healthcare providers and insurance companies to correct errors and resolve issues.
- Clearly and empathetically communicate findings, next steps, and resolutions to patients.
- Maintain accurate documentation of case reviews, communications, actions, and outcomes in internal systems.
- Collaborate with team members on complex cases to support timely and accurate resolutions.
- Certified Professional Coder and/or Biller certification.
About the company
Amaze Health provides a subscription-based telehealth service that gives people and corporate employees access to virtual healthcare. It combines virtual urgent care, primary care, health education, and patient advocacy into one platform. Patients connect with medical professionals through audio calls, video calls, or in-app messaging, so they can receive diagnosis, treatment, and prescriptions without visiting a clinic. Unlike providers that offer only one type of care, Amaze Health bundles multiple services and targets both individuals and employers, simplifying access to care and reducing costs. Its goal is to make healthcare easier and faster to access by eliminating the need for in-person visits while offering convenient support for patients and workplaces.
Company Size
51-200
Company Stage
Seed
Total Funding
$1.8M
Headquarters
Denver, Colorado
Founded
2017
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Simplify's Take
What believers are saying
- Amazehealth.com was updated August 25, 2026, showing active sales and support operations.
- Arvada Chamber and Ensura deals in 2025-2026 expanded employer distribution and product reach.
- M42 ADHDS signed an Abu Dhabi MoU at GITEX 2024, opening international expansion.
What critics are saying
- June 30, 2026 working capital deficit hit $19.2 million; financing stays existential.
- July 31, 2026 removed CEO Aaron Day, signaling severe execution and governance stress.
- August 2026 layoffs cut about 25%; another failed financing can force discontinuance.
What makes Amaze Health unique
- Amaze bundles virtual urgent care, primary care, advocacy, and prescriptions into one subscription.
- Its 2025 Capstone and 2026 Ensura packages tie care to employer savings and payroll.
- July 24, 2026 reverse split and SEC filings show a capital-markets-backed operator, not a hobby shop.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Paid Vacation
- 401(k) Retirement Plan