Patient Financial Counselor

CCRM Fertility•Edina, MN

About The Position

CCRM Fertility is hiring a Patient Financial Counselor for a new clinic. The role coordinates the financial aspects of patient care while supporting a positive patient experience. The counselor educates patients about financial services and the steps and timelines involved in obtaining payment from their insurance, and serves as an accessible resource for questions about financial matters related to care. The position contributes to an efficient revenue cycle, patient satisfaction, and positive financial outcomes. The role reports to the Patient Engagement Manager.

Requirements

  • High school diploma or GED.
  • Ability to work weekends, evenings, and holidays on a rotating basis.

Nice To Haves

  • At least 1 year of medical billing experience.
  • Previous experience in reproductive medicine or women’s health.
  • Prior experience with Athena.

Responsibilities

  • Verify insurance for patients before new-patient appointments and treatment cycles.
  • Confirm insurance benefits are entered in the practice management system and track insurance changes during a patient’s care.
  • Collect patient payments before scheduled services.
  • Ensure valid insurance information is available in each patient’s chart.
  • Serve as the patient’s primary contact for financial matters and explain Patient Financial Services guidelines and policies throughout care.
  • Address insurance coverage discrepancies after verification 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 services as required.
  • Determine and communicate patient financial responsibility based on pre-certification before procedures, and obtain written pre-authorization documentation.
  • Identify patients eligible for ART care, provide ART financial consultations, and collect payments before care in accordance with Care Center guidelines.
  • Advise Care Teams 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 2 months of service.
  • Basic and supplemental life insurance.
  • Employee Assistance Program (EAP).
  • Short-term disability.
  • Flexible spending accounts, including dependent care and commuter benefits.
  • Health Savings Account.
  • CCRM paid family medical leave, eligible after 1 year.
  • Supplemental coverage options, including critical illness, hospital indemnity, and accident insurance.
  • Professional development, job training, and cross-training opportunities.
  • Potential for bonus.
  • Potential for overtime pay at time and a half.
  • Holiday differential pay at time and a half.
  • Weekend shift differential pay of $4.00 per hour.
  • Rewards may include flexible work arrangements and region-specific benefits.
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