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I
Medical Billing Specialist – Women's Health
Inception Fertility. Review patient demographic and insurance information and confirm benefit details with insurance providers .
About the role
Key responsibilities & impact- Review patient demographic and insurance information and confirm benefit details with insurance providers
- Obtain medical documentation from clinicians for insurance review and prior authorization
- Document authorization reference numbers in EMR and other systems
- Update EMR and other systems to create medical claims and post self-pay charges
- Prepare electronic claim files for submission
- Monitor accepted and denied claims and update claims for resubmission
- Compare transaction reports with daily schedules to ensure timely monthly billing
- Resolve credit balances and prepare paperwork and statements for outstanding patient balances
- Perform daily charge capture, including entering patient charges into the eIVF EMR platform
- Reconcile charges against daily patient schedules
- Verify charge appropriateness based on services rendered
- Collaborate with patients, revenue cycle teams, clinical staff, insurance providers, clinic leadership, RCM leadership, and the Coding Team to improve billing efficiency and reduce denials
Requirements
What you’ll need- High School Diploma or equivalent required
- Associate’s degree preferred
- 1–2 years of medical billing experience required in a women's clinic/physician practice setting
- 1–2 years of medical billing experience related to a lab and ASC setting preferred
- Proficiency with CPT code sets and requirements, including modifiers, CPT bundling/unbundling, diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets
- Familiarity with claim edits and clearinghouse functionality
- Familiarity with medical billing platforms used in clinic and physician practice settings
Benefits
Comp & perks- Comprehensive medical, dental, and vision plans for full-time employees
- Complimentary basic life insurance
- Employee Assistance Program (EAP)
- Long-term disability insurance
- Fertility benefits
- Adoption assistance
- Surrogacy support
- Paid maternity, paternity, and partner leave
- 18 days of PTO annually
- 11 paid holidays, including one floating holiday
- 401(k) plan with competitive company match and full vesting after 2 years
- Company-funded Lifestyle Spending Account for physical, financial, and emotional well-being expenses
- Employer HSA contributions, if eligible
- Employee Referral Program
- Continuing education reimbursement
- Dedicated time off for professional development
- Additional Accident, Critical Illness, Hospital Indemnity, and Pet Insurance options