Billing Specialist

Eddy; Provo (UT); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k matching

Job summary

Conceptions Fertility Center in Provo, UT is seeking a Billing Specialist to join our compassionate team. This full-time, Mon-Fri position focuses on accurate billing for patient accounts and insurance claims, while ensuring HIPAA compliance.

Responsibilities include verifying insurance eligibility, submitting claims, monitoring accounts receivable, posting payments, and assisting with statements and collections. We value attention to detail, reliability, and bilingual Spanish when applicable.

Qualifications

• Experience in medical billing and insurance workflows.
• Ability to interpret payer requirements and coding guidelines.
• Familiarity with HIPAA and patient privacy regulations.

Responsibilities

• Verify patient insurance eligibility, fertility benefits, coverage requirements, and prior authorization needs.
• Review, prepare, and submit accurate insurance claims per payer rules.
• Monitor accounts receivable and follow up on outstanding or underpaid claims.
• Investigate claim denials and resubmit corrections or appeals.
• Post and reconcile payments, ERA/EOBs, adjustments, and other transactions.
• Generate patient statements and assist with billing questions and collections as needed.

Skills

Attention to detail

Self-motivated

Team player

Problem solving

Multi-tasking

Insurance authorization

Billing experience

Spanish bilingual

Job description

****Billing Specialist****Full-time: M-F 8am-5pmStarting 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 payMedical, dental, vision, and 401(k) matching.Company-Sponsored Quarterly Staff ActivitiesA fun, motivated group of people at a clinic that makes a difference in people’s lives.