Billing Specialist

Job Description

Job Description

Billing Specialist

Full-time: M-F 8am-5pm

Starting at $20.00/hr. DOE

Position Overview:

At Conceptions Fertility Center we are passionate about providing empathetic, personalized, and exceptional patient care. We work to help people grow and build their families through a variety of treatment options. We are currently looking for experienced, compassionate, and dynamic team players to join our growing practice. If you are looking for a rewarding environment where your talent and skills will change people’s lives, then we want to talk to you. This position is integral to our practice and requires working closely with patients, providers, and other staff. 

We are seeking a detail-oriented and organized Billing Specialist to join our team. The Billing Specialist will play a crucial role in ensuring the smooth operation of our clinic's financial processes by accurately and efficiently handling billing tasks related to patient accounts and insurance claims.

Key Responsibilities:

· Verify patient insurance eligibility, fertility benefits, coverage requirements, and prior authorization needs.

· Review, prepare, and submit accurate insurance claims in accordance with payer requirements and coding guidelines.

· Monitor insurance accounts receivable (A/R) and follow up on outstanding, unpaid, or underpaid claims.

· Investigate and resolve claim denials and rejections, including corrections, resubmissions, and appeals.

· Accurately post and reconcile insurance and patient payments, ERA/EOB remittances, adjustments, and other transactions.

· Generate patient statements and assist patients with billing, insurance coverage, balances, and payment questions.

· Manage patient collections, including payment plans, past-due notices, account follow-up, and referral of delinquent accounts to collections when appropriate.

· Assist with month-end reconciliation and billing/collections reporting.

· Maintain accurate billing records and ensure compliance with payer contracts, clinic policies, HIPAA, and applicable healthcare billing regulations.

· Collaborate with providers, clinical staff, insurance companies, and other team members to resolve billing issues and maximize timely reimbursement.

Qualifications:

• Strong attention to detail, accuracy, and organization
• Self-motivated and a team player
• Strong problem-solving skills
• Ability to multi-task
• Basic understanding of insurance authorization processes (preferred)
• Financial/Billing experience (Required)
• Bilingual in Spanish (Highly preferred)

We Offer:

Competitive pay

Medical, dental, vision, and 401(k) matching.

Company-Sponsored Quarterly Staff Activities

A fun, motivated group of people at a clinic that makes a difference in people’s lives.

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