Demo

Billing Supervisor

Center for Assisted Reproduction A Professional...
Bedford, TX Full Time
POSTED ON 2/20/2025
AVAILABLE BEFORE 4/18/2025

Senior Billing Specialist / Revenue Cycle Specialist – Fertility Clinic (Full-Time)

Location: Bedford, TX
Hours: Full-Time
Compensation: $60,000 – $64,000 (DOE) Benefits

About CARE Fertility

CARE Fertility is a leading reproductive medicine practice committed to providing exceptional patient care. We are seeking a detail-oriented Senior Billing Specialist / Revenue Cycle Specialist to ensure accurate claims processing, patient billing, and revenue cycle optimization while working under the oversight of the Operations Manager.

Who You Are:

An experienced medical billing professional with a strong understanding of claims processing, insurance verification, and coding (ICD, CPT).
Detail-oriented and analytical, ensuring timely and accurate billing with minimal denials.
A problem solver, able to investigate billing discrepancies, resolve errors, and optimize revenue flow.
A strong communicator, comfortable working with patients regarding billing inquiries and collections.
Fertility or specialty medical billing experience preferred but not required.

Key Responsibilities

Claims Processing & Insurance Billing

  • Translate clinical services into standardized medical codes (ICD-10, CPT, HCPCS) to ensure accurate claims submission.
  • Submit clean claims to commercial and government payers, ensuring compliance with coding and documentation guidelines.
  • Ensure timely posting of payments, adjustments, and denial resolutions.
  • Review coding accuracy to prevent errors and optimize reimbursement.

Insurance Verification & Patient Cost Estimates

  • Verify insurance benefits before patient visits and ensure correct authorization for fertility procedures.
  • Work with financial counselors and front-office staff to generate accurate patient cost estimates.
  • Assist with prior authorizations and appeals as needed.

Denial Management & Appeals

  • Investigate denied and underpaid claims, resubmitting appeals as necessary.
  • Track denial trends and implement process improvements to minimize future claim rejections.
  • Work with payers to resolve outstanding accounts receivable (AR) issues.

Patient Billing & Payment Collections

  • Communicate with patients regarding billing inquiries, payment options, and outstanding balances.
  • Investigate and resolve billing errors, ensuring patient accounts are correct and up to date.
  • Collaborate with payment merchants to resolve billing disputes, address discrepancies, and ensure proper handling of payment issues.

Revenue Cycle Optimization & Reporting

  • Monitor aging reports, accounts receivable, and outstanding balances to optimize cash flow.
  • Identify inefficiencies in billing workflows and implement improvements.
  • Collaborate with the Operations Manager to ensure financial performance aligns with clinic goals.

Collaboration & Cross-Training

  • Assist in training front-office and billing team members on insurance policies and coding best practices.
  • Participate in regular team meetings to review revenue performance and billing updates.

Qualifications

✔ 3 years of experience in medical billing, preferably in fertility, OB/GYN, or procedural specialties.
Proficiency in CPT codes, ICD-10, and payer reimbursement policies.
Experience with claims processing, denials management, and insurance verification.
Strong knowledge of EMRs and billing software.
Highly organized, detail-oriented, and able to problem-solve complex billing issues.
Strong communication skills for patient financial counseling and collections.

Why Join Us?

Be a key player in a growing fertility practice.
Competitive salary, health and other employment benefits.
Opportunities for professional development and career growth.
  • Collaborate with a supportive team making a difference in reproductive healthcare.

How to Apply:
If you are a skilled billing specialist who thrives in revenue cycle management and claims optimization, we want to hear from you! Apply today by sending your resume and cover letter to [Your Email] with the subject line: Senior Billing Specialist Application – CARE Fertility.

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