We are currently seeking an Infertility Billing Specialist to manage our team. Demonstrated experience in IVF and Infertility is required!
Responsibilities include:
· Prepare and submit insurance claims
· Answer billing questions from patients, staff, and insurance companies
· Assist in maintaining an activity file on all insurance claims filed.
· Post all payments and denials received in the office
· Responsible for collecting, posting, and managing account payments
· Alert the Billing Coordinator/Administrator of any coding discrepancies
· Follow up on unpaid claims. Process and generate patient statements
· Accept and respond to all telephone and mail inquiries regarding insurance claims
· Customer service to both patients and insurance companies
· Keep abreast of all changes in the rules and regulations applicable to commercial carriers and other third-party payers
· Submit daily, weekly, and monthly financial reports
· Maintain the denied claims work file and take appropriate action as outlined by the department
· Identify and resolve patient billing complaints
· Prepare, review, and send patient statements
· Review all patient accounts and prepare information for the collection agency
· Process payments from insurance companies and prepare a daily deposit
· Perform various collection actions including contacting patients, correcting and resubmitting claims to third-party payors
Requirements
· Minimum of 1-2years of infertility billing and collections experience in infertility
· Must be proficient in CPT, ICD-9 coding, Excel spreadsheets, Word, internet access, and medical billing and EMR software.
· Knowledge of medical terminology and HCPCS coding
· Must be able to meet reporting deadlines and submit professional and accurate reports as required.
· Knowledge of electronic billing, payment posting, and claims appeal process