Fertility Care Financial Specialist

New Leaders in Fertility and Endocrinology; Pensacola (FL); Sur place; USD 38 000 - 60 000; Plein temps

Résumé du poste

NewLIFE is seeking a Financial Services Representative to join our patient support team onsite in Pensacola, FL. This role focuses on managing insurance benefits, pre-authorizations, and financial clearances for fertility treatments, collaborating with clinicians and the Central Billing Office.

Full-time candidates with attention to detail and patient care commitment are encouraged to apply. The successful candidate will verify benefits, discuss coverage and self-pay options, and coordinate with

Qualifications

• 1-2 years of experience in healthcare insurance, medical billing, or financial services within a provider setting.
• Strong understanding of medical insurance processes, pre-authorization workflows, and patient financial counseling.
• Proficiency in CPT and ICD-10 coding.
• Experience with electronic medical records (EMR) and medical billing software.
• Excellent communication and customer service skills, with the ability to explain financial obligations clearly and compassionately.
• Strong organizational skills and meticulous attention to detail.

Responsabilités

• Manage pre-certifications for fertility treatments and procedures, including IUI, IVF, TESE, MESA, FET, embryo biopsy, donor embryo cases, and gestational carriers.
• Verify insurance benefits and communicate coverage details and self-pay options clearly to patients.
• Obtain authorizations for diagnostic tests such as HSG, sonohysterograms, semen analysis, MRIs, ultrasounds, and endometrial biopsies.
• Provide financial counseling to patients, including discussion of treatment costs, co-pays, and payment plan options.
• Communicate financial clearance status to clinical staff via Athena and ReSource systems.
• Monitor patient accounts for billing accuracy and follow up on outstanding balances in a timely manner.
• Schedule and pre-certify surgical procedures, coordinating all pre-and post-operative visits with surgical centers and insurers.
• Partner with the Central Billing Office to resolve authorization issues and process refunds.
• Maintain accurate patient consents and financial documentation in compliance with HIPAA standards.
• Support onboarding and training of new FSR team members as needed.

Connaissances

Healthcare insurance

Medical billing

Financial counseling

EMR systems

Communication skills

Outils

EMR software

Billing software

Athena

ReSource

Description du poste

NewLIFE is seeking a Financial Services Representative to join our patient support team onsite in Pensacola, FL. This role focuses on managing insurance benefits, pre-authorizations, and financial clearances for fertility treatments, collaborating with clinicians and the Central Billing Office.

Full-time candidates with attention to detail and patient care commitment are encouraged to apply. The successful candidate will verify benefits, discuss coverage and self-pay options, and coordinate with