Fertility AR Specialist: Denials & Reimbursement Expert

Terra Fertility; Dedham (MA); Presencial; USD 41.000 - 55.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision insurance

401(k) with employer match

Paid time off and paid holidays

Professional development opportunities

Descripción de la vacante

Terra Fertility in Dedham, MA is seeking an experienced Accounts Receivable Specialist to manage insurance AR, pursue denials, and ensure timely reimbursement for fertility services. The role requires 3+ years of medical billing AR experience and strong payer communication skills.

You will collaborate with billing, patient financial coordinators, prior authorization staff, clinical teams, practice leadership, and insurance payers to optimize reimbursement and reduce denials.

Formación

• Minimum 3 years of medical billing and insurance AR experience.
• Proven ability to independently resolve denials and recover reimbursement.
• Strong understanding of insurance benefits, prior authorization, and payer policies.
• Ability to interpret EOBs, ERAs, and payer contracts.
• Proficiency with CPT/HCPCS/ICD-10 coding and modifiers.
• Experience with commercial carriers (Blue Cross, UnitedHealthcare, Aetna, etc.).
• Proficient in Excel or Google Sheets for tracking and analysis.
• Knowledge of HIPAA and patient confidentiality.
• High attention to detail and ability to manage high-volume AR.

Responsabilidades

• Independently manage an assigned portfolio of insurance AR and denials.
• Follow up on unpaid, rejected, denied, and underpaid claims for timely reimbursement.
• Review aging reports and prioritize claims by aging and filing deadlines.
• Document follow-up actions and payer responses in the PMS.
• Meet productivity, collection, and AR reduction goals.
• Prepare and submit corrected claims and appeals within deadlines.
• Coordinate with billing, eligibility, and clinical teams to resolve issues.
• Assist with AR reconciliation and routine reporting.

Conocimientos

Medical billing

Insurance follow-up

AR denials management

Payer communications

Analytical skills

Communication skills

HIPAA knowledge

Excel / Sheets

Educación

High school diploma or equivalent

Associate or Bachelor's degree preferred

CPB/CPC or related certification preferred

Herramientas

EMR systems

Practice management systems

Clearinghouses

Insurance payer portals

Descripción del empleo

Terra Fertility in Dedham, MA is seeking an experienced Accounts Receivable Specialist to manage insurance AR, pursue denials, and ensure timely reimbursement for fertility services. The role requires 3+ years of medical billing AR experience and strong payer communication skills.

You will collaborate with billing, patient financial coordinators, prior authorization staff, clinical teams, practice leadership, and insurance payers to optimize reimbursement and reduce denials.