Fertility Care Financial Advocate

Talentify; New York (NY); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

PTO and holidays

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan with Company Match

Life Insurance

EAP

Short-Term Disability

Flexible spending

Health Savings Account

Paid Family Medical Leave

Professional Development

Bonus Potential

Overtime Pay

Holiday Differential Pay

Weekend Diff $4/hr

Job summary

CCRM Fertility in the United States is seeking a Patient Financial Counselor to manage the financial aspects of patient care and services, aligning with our mission to support families through fertility treatment.

You will educate patients on insurance and payment options, coordinate verifications and pre-authorizations, and partner with Care Teams to optimize the revenue cycle while delivering compassionate, patient-centered service.

Qualifications

• High School Diploma or GED required.
• 1+ year medical billing experience preferred.
• Experience in reproductive medicine or Women’s health preferred.
• Prior experience with Athena preferred.
• Ability to work weekends, evenings, and holidays, on a rotating basis.

Responsibilities

• Insurance verifications for all patients prior to the New Patient appointment and treatment cycle.
• Verify insurance benefits have been entered in the practice management system and track any insurance changes that occur during their course of care.
• Collect payments from patients prior to the scheduled service.
• Ensure valid insurance information is available in the patient’s chart.
• Serve as the patient’s primary point of contact for financial matters and ensure the patient knows the Patient Financial Services guidelines and policies during the course of care.
• Address insurance coverage discrepancies with the patient and advocate for patients with insurance issues.
• Identify and perform pre-certification(s) required by the patient’s insurance for general medical service, infertility diagnostic service, infertility treatment service, obstetrical care service, etc.
• Determine and communicate patient financial responsibility based on pre-certification, prior to any procedures and obtain written pre-authorization documentation.
• Identify patients eligible to proceed with ART care, provide ART Financial Consult, and obtain payments prior to care, in accordance with Care Center guidelines.
• Serve as a resource to Care Teams regarding insurance coverage limitations on a patient’s care plan.
• Other duties assigned.

Education

High School Diploma or GED

Tools

Athena

Job description

CCRM Fertility in the United States is seeking a Patient Financial Counselor to manage the financial aspects of patient care and services, aligning with our mission to support families through fertility treatment.

You will educate patients on insurance and payment options, coordinate verifications and pre-authorizations, and partner with Care Teams to optimize the revenue cycle while delivering compassionate, patient-centered service.