Financial Services Representative

First Fertility; Pensacola (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

NewLIFE Pensacola, a fertility care provider, seeks a Financial Services Representative to manage insurance benefits, pre-authorizations, and financial clearances for patients undergoing fertility treatments. You will work with clinical staff, insurers, and our Central Billing Office to explain options and ensure smooth financial navigation.

This full-time on-site role requires 1–2 years in healthcare insurance or medical billing, proficiency with EMR and billing software, and strong

Qualifications

• 1–2 years of experience in healthcare insurance, medical billing, or financial services.
• Strong understanding of medical insurance processes and pre-authorization workflows.
• Proficiency with CPT/ICD-10 coding.
• Experience with EMR and medical billing software.
• Excellent communication and customer service skills.
• Strong organizational skills and meticulous attention to detail.

Responsibilities

• Manage pre-certifications for fertility treatments and procedures.
• Verify insurance benefits and explain coverage and self-pay options clearly to patients.
• Obtain authorizations for diagnostic tests.
• Provide financial counseling on treatment costs, co-pays, and payment plan options.
• Communicate financial clearance status to clinical staff via scheduling and billing systems.
• Monitor patient accounts for billing accuracy and follow up on outstanding balances.
• Schedule and pre-certify surgical procedures with centers and insurers.
• Maintain HIPAA-compliant financial documentation.
• Support onboarding and training of new FSR team members.

Skills

Communication skills

Customer service

Organizational skills

Attention to detail

Tools

EMR software

Medical billing software

Athena EMR

ReSource system

Job description

Job Details

Job Location: NEWLIFE Pensacola - Pensacola, FL 32503,

About NewLIFE

At NewLIFE, we believe exceptional patient care and outstanding outcomes go hand in hand. Our dedicated team of fertility specialists works collaboratively to provide professional, compassionate, patient-centered care and helping families achieve their dreams every day. If you're passionate about making a meaningful difference in reproductive health, we invite you to be part of our mission.

The Role

The Financial Services Representative (FSR) is a key member of our patient support team, responsible for managing insurance benefits, pre-authorizations, and financial clearances for patients undergoing fertility treatments. Working closely with clinical staff, insurance providers, and our Central Billing Office, you'll ensure patients have a clear understanding of their financial options so they can focus on what matters most. We welcome full-time candidates who bring dedication, attention to detail, and a genuine commitment to patient care.

What You'll Do

• 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.

What We're Looking For

• 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.

Schedule

This position is full-time with standard 8:00am-4:30pm hours follow a Monday-Friday day, with occasional weekend needs. The role is based on-site in Pensacola, FL.

Join Us

Joining NewLIFE means becoming part of a team that changes lives - including your own. We offer a competitive compensation and benefits package, a supportive and collaborative work environment, and the deep fulfillment of helping patients navigate one of the most important journeys of their lives. We'd love to hear from you.