Patient Financial Counselor

CCRM Fertility • Chicago, IL

6d

About The Position

The Patient Financial Counselor coordinates the financial aspects of patient care while fostering a positive patient experience. The role educates patients about financial services and the steps and timelines involved in receiving payment from their insurance, and serves as an accessible resource for financial matters related to their care. The position reports to the Patient Engagement Manager.

The counselor supports the efficiency of CCRM Fertility’s revenue cycle, patient satisfaction, and financial outcomes by verifying coverage, explaining financial responsibility, collecting payments, and assisting patients with insurance processes. The role also advises care teams about insurance coverage limitations and supports patients proceeding with assisted reproductive technology (ART) care.

Requirements

• High school diploma or GED required.
• Ability to work weekends, evenings, and holidays on a rotating basis.
• Ability to perform the job duties described, with or without reasonable accommodation, including communicating with others, prolonged sitting and computer work, preparing and analyzing data and figures, occasional standing and walking, and using office equipment.

Nice To Haves

• At least one year of medical billing experience preferred.
• Previous experience in reproductive medicine or women’s health preferred.
• Prior experience with Athena preferred.

Responsibilities

• Verify insurance for patients before new-patient appointments and treatment cycles.
• Ensure insurance benefits are entered in the practice management system and track insurance changes during care.
• Collect patient payments before scheduled services.
• Ensure valid insurance information is available in each patient’s chart.
• Serve as the primary patient contact for financial matters and explain Patient Financial Services guidelines and policies throughout care.
• Address insurance coverage discrepancies with patients and advocate for patients experiencing difficulty with the insurance process.
• Identify and complete insurance pre-certifications for general medical services, infertility diagnostics and treatment, obstetrical care, and other applicable services.
• Determine and communicate patient financial responsibility based on pre-certification before procedures, and obtain written pre-authorization documentation.
• Identify patients eligible to proceed with ART care, provide ART financial consultations, and obtain payments before care in accordance with Care Center guidelines.
• Provide Care Teams with information about insurance coverage limitations affecting patient care plans.
• Perform other duties as assigned.

Benefits

• Generous paid time off and paid holidays.
• Medical, dental, and vision insurance; health benefits begin the first day of the month following the start date.
• 401(k) plan with company match, beginning the first of the month following two months of service.
• Basic and supplemental life insurance.
• Employee Assistance Program.
• Short-term disability.
• Flexible spending accounts, including dependent care and commuter benefits.
• Health Savings Account.
• CCRM-paid family medical leave, eligible after one year.
• Supplemental options including critical illness, hospital indemnity, and accident coverage.
• Professional development, job training, and cross-training opportunities.
• Bonus potential.
• Potential for overtime pay at time and a half.
• Holiday differential pay at time and a half.
• Weekend shift differential of $4.00 per hour.
• Rewards may include flexible work arrangements and region-specific benefits.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED