Financial Coordinator

Ivy Fertility; Sacramento (CA); On-site; USD 33,000 - 37,000; Full time

Job summary

Ivy Fertility in Sacramento is seeking a full-time Financial Coordinator to help patients understand the costs of fertility treatments and to assist staff with billing and insurance matters.

The role focuses on explaining treatment costs, calculating patient responsibility, obtaining authorizations, and performing cycle audits to ensure accurate billing and timely postings.

Qualifications

• Minimum three years of managed care experience in a healthcare organization.
• Knowledge of clinic policies, health care insurance practices and billing/coding requirements.
• Skilled in gathering and reporting authorization and claim information.
• Strong verbal and written communication with patients.
• Ability to identify and analyze potential cycle payment problems.
• Understanding of fertility procedures and CPT codes and how to communicate coverage to patients.
• Bachelor's degree in health or business administration is preferred.

Responsibilities

• Meet with patients to discuss costs for the medical plan and cycle fees.
• Calculate patient financial responsibility, factoring in insurance benefits and discounts.
• Obtain authorizations and discuss cycle fee due dates for IUI and IVF.
• Complete patient follow-up letters summarizing treatment plan fees.
• Perform post-cycle audits on insurance and third-party cycles and process refunds as needed.
• Notify patients of past due cycle fees and account balances after cancellations.
• Assist Billing and Insurance Coordinators with financial and insurance-related issues.
• Update financial flowsheets and ensure the website reflects up-to-date information.
• Provide backup support to the front office as needed.
• Complete IUI tasks assigned by medical staff, including required authorizations and posting patient fees.
• Other duties as assigned.

Skills

Managed care experience

Communication skills

Team collaboration

Billing/insurance knowledge

Problem-solving

Education

High school diploma

Bachelor's degree in health or business administration

Job description

Job Details

Job Location: Sacramento - Sacramento, CA 95841

Position Type: Full-Time

Salary Range: $24.00 - $27.00 Hourly

At Northern California Fertility Medical Center, we're committed to delivering compassionate, patient-focused fertility care, and that includes supporting patients through every step of their financial journey. We're looking for a full-time Financial Coordinator to join our team in Sacramento.

Position Summary

• Assists patients and staff in understanding the financial aspects of treatment cycles and services at NCFMC
• Serves as a resource for treatment cost information for patients, staff, and physicians
• Performs treatment cycle audit processes

Responsibilities

• Meet with patients to discuss costs associated with the medical plan of care, including diagnostic testing, medications, and cycle fees
• Calculate patient financial responsibility, factoring in insurance benefits and approved discounts
• Obtain authorizations and discuss cycle fee due dates with patients for IUI and IVF cycles
• Complete patient follow-up letters summarizing treatment plan fees
• Perform post-cycle audits on all insurance and third-party cycles to confirm services have been posted and paid, and submit patient refund requests as needed
• Notify patients of past due cycle fees
• Notify patients of account balances following a cancelled cycle, after posting for services rendered
• Assist Billing and Insurance Coordinators with financial and insurance-related issues
• Update financial flowsheets with cycle fee information
• Ensure the NCFMC website reflects up to date information
• Provide backup support to the front office as needed
• Complete IUI tasks assigned by medical staff, including required authorizations and posting patient fees
• Other duties as assigned

Qualifications

• Minimum three years of managed care experience in a health care organization, OB/Gyn background preferred
• High school diploma required; bachelor's degree in health or business administration preferred
• Knowledge of clinic policies and procedures, health care insurance practices and compliance, billing/insurance/coding requirements, medical terminology, and general computer systems and applications
• Skilled in gathering and reporting authorization and claim information, troubleshooting cycle financial problems, and written and verbal communication with patients
• Ability to work effectively with physicians, medical staff, and patients
• Ability to identify and analyze potential cycle payment problems
• Working understanding of fertility procedures and CPT codes used in an OB/Gyn environment, with the ability to communicate coverage and cost clearly to patients
• Ability to review medical documents for accuracy and completeness
• Strong verbal and written communication skills

Ivy Fertility is an equal opportunity employer. Employment decisions are based on merit, qualifications, performance, and business needs. Ivy Fertility does not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, sex, sexual orientation, gender identity or expression, veteran status, or any other status protected by applicable federal, state, or local law.