Accounts Receivable Specialist

Illume Fertility specializes in the treatment of infertility, including assisted reproductive technologies (ART) like intrauterine insemination (IUI), in-vitro fertilization (IVF), and pre-implantation genetic testing (PGT). Illume Fertility is Fairfield County’s largest fertility clinic and egg donation center and is led by eight board-certified reproductive endocrinologists. Illume Fertility is consistently recognized as an LGBTQ Healthcare Equality Leader and its Integrated Fertility & Wellness program offers holistic support via acupuncture, mental health counseling, support groups and nutritional counseling. lllume Fertility has 5 convenient locations in Norwalk, Danbury, Stamford and Trumbull, CT and Harrison, NY.

We are looking for a dedicated Self-pay AR Specialist to promote Illume Fertility's core values and commitment to teamwork in all endeavors. This role will have a large emphasis on self-pay AR and problem solving on outstanding patient balances, the member will also support with insurance claims review when appropriate

Responsibilities:

• Monitoring outstanding Self-pay AR, working each bucket within the aging AR
• Understanding of Self-pay packages for appropriate follow-up with patient
• Reporting payer issues to leadership and assist in the development of strategies and tactics to address and resolve
• Ensure timely follow up on all unpaid patient balances, utilizing monthly aging reports
• Effective auditing skills to support payment plan implementation
• Set up accounts for collection activity, including notification letters to patients
• Work refund request
• Effective communication abilities for phone contacts with insurance payers or Patients to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments
• Research and resolve any discrepancies, denials, appeals, collections
• Review patient bills for accuracy and completeness and obtain any missing information
• Post Online patient payments
• Process insurance payments when appropriate to balance bill to patient
• Troubleshoot errors and rejection codes, and correct and re-submit all denied claims
• Proper notation in ILLUME systems and maintain all documentation required for complaint claim submission
• Maintain clear communication with the clinics about overall clinical operations impacting claims processing
• Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
• Maintain the highest degree of ethics when handling patient payments and bill processing
• Provide Reporting metrics on outstanding Self-pay AR balances
• Meet positional metrics and benchmarks
• Follow all department standard operating procedures carefully and accurately
• Other duties as assigned by your manager

Qualifications & Requirements:

• 4-6 years of AR/RCM experience strongly preferred
• Infertility RCM expertise considered Ideal
• Possess a strong working knowledge of insurance benefits, Managed Care policies
• Knowledge of CPT/and ICD coding a plus

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee Assistance Program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

*Acceptiing applications for remote and local candidates.

To learn more about us visit: www.illumefertility.com