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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?
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.