Billing Specialist

IVY FERTILITY•Chicago, IL

18d•$24 - $26•Remote

About The Position

Ivy Fertility is seeking a detail-oriented Billing Specialist to manage insurance claims and collections, resolve accounts receivable issues, and support patient collections for its fertility practice. The role involves researching and following up on medical insurance claims, preparing appeals, and working with insurance carriers, patients, providers, and internal teams to support timely, accurate collections and organizational billing goals. This is a fully remote position. The Billing Specialist handles insurance and patient accounts receivable, payment posting, patient billing inquiries, refunds, payment plans, coding and claims work, and related documentation and reporting. The role also supports compliance with medical coding, privacy, payment-card, and billing and collection requirements.

Requirements

Associate degree in Medical Billing, Accounts Receivable, or a related field preferred.
At least 2 years of direct medical billing, accounts receivable, or coding experience.
Working knowledge of medical accounts receivable, insurance and patient collections, claim rejections and denials, appeals, and related billing guidelines and policies.
Knowledge of CPT, ICD-10, and HCPCS coding.
Familiarity with medical insurance terminology and third-party payer reimbursement policies and procedures, including reimbursement reductions and fee schedule calculations and comparisons.
Strong knowledge of anatomy, physiology, and medical terminology.
Strong analytical and problem-solving skills, including the ability to identify root causes.
Effective, accurate, and concise verbal and written communication skills.
Ability to work independently and collaboratively as part of a team.
Strong attention to detail, prioritization, and multitasking skills in a fast-paced environment.
Strong customer service orientation and mathematical skills.
Proficiency in Excel and general computer systems and software.
Strong typing and 10-key speed and accuracy; minimum typing speed of 45 WPM.
Ability to establish and monitor performance and productivity standards.
Highly process-oriented and detail-focused.
Empathy and discretion when discussing sensitive financial and family-building matters.
Ability to handle past-due balances firmly, professionally, and confidently.
Dependable, reliable, goal-oriented team player with a positive attitude who can also work independently.
Ability to troubleshoot and resolve ongoing problems.
Ability to handle stressful situations while maintaining professionalism and composure.
Ability to build strong working relationships with patients, management, physicians, and internal teams.

Nice To Haves

CPC certification preferred.
Experience in a medical office practice setting is ideal.
Fertility billing experience is preferred but not required.

Responsibilities

Review outstanding claims, determine next steps, and contact insurance companies for status updates.
Research and resolve accounts receivable problems and disputed or delinquent balances with patients and insurers, including misapplied payments, direct deposits, and overpayments.
Request claim reprocessing or prepare and submit corrected claims when needed.
Research claim rejections and denials, including using payer websites to identify rejection reasons.
Report on outstanding insurance and patient accounts receivable over 45 days and document collection efforts.
Review prior collection efforts monthly to confirm payment was received.
Initiate appropriate collection actions on delinquent accounts through calls and correspondence with insurers and patients.
Contact patients about balances after insurance processing; send statements, reminders, and final notices on schedule.
Set up and monitor patient payment plans and auto-pay enrollments according to clinic policy.
Accurately and promptly post patient payments made by credit card, ACH, check, or cash.
Answer patient billing inquiries, explain how claims were processed, and provide requested documentation such as EOBs and patient ledgers.
Update demographic and payer information obtained from patients.
Research insurance and patient refund requests, complete paperwork, and prepare refund requests for management approval.
Process credits, adjustments, and write-offs according to approval guidelines.
Escalate seriously delinquent patient accounts to management, including possible referral to third-party collections, in accordance with clinic policy and applicable law.
Document changes in insurance, billing systems, and clearinghouses to maintain an accurate audit trail.
Post insurance payments within two business days and ensure all payments are posted for month-end close.
Register with insurance carriers online to obtain claim and eligibility information.
Generate and mail claims.
Work with team members, providers, and management on appeals and denials from insurance payors.
Inform management of insurance changes or trends that could affect claim submission and processing.
Assign and verify diagnosis and procedure codes using ICD, HCPCS, and CPT systems, ensuring accuracy and correct sequencing under applicable regulations.
Follow up with providers about insufficient or unclear documentation and communicate with clinical staff regarding documentation.
Maintain compliance with medical coding policies, HIPAA, PCI standards, and billing and collection regulations, including FDCPA and state law.
Support management on special projects and prepare requested reports.
Perform other duties as assigned.