Patient Financial Counselor
About The Position
Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit www.ccrmivf.com. The Patient Financial Counselor plays a vital role in in managing the financial aspects of patient care and services. Their impact extends across various areas, contributing to the overall efficiency, patient satisfaction, and financial health of CCRM Fertility. Their efforts contribute to an efficient revenue cycle, increased patient satisfaction, and improved financial outcomes, ultimately enhancing the overall patient experience.
Requirements
- High School Diploma or GED required.
- 1+ year medical billing experience preferred.
- Previous experience in reproductive medicine or Women’s health preferred.
- Prior experience with Athena preferred.
- Ability to work weekends, evenings, and holidays, on a rotating basis.
Responsibilities
- Insurance verifications for all patients prior to the New Patient appointment and treatment cycle.
- Verify insurance benefits have been entered in the practice management system and track any insurance changes that occur during their course of care.
- Collect payments from patients prior to the scheduled service.
- Ensure valid insurance information is available in the patient’s chart.
- Serve as the patient’s primary point of contact for financial matters and ensure the patient knows the Patient Financial Services guidelines and policies during the course of care.
- Address insurance coverage discrepancies (following verification) with the patient and serve as an advocate for patients experiencing difficulty with the insurance process.
- Identify and perform pre-certification(s) required by the patient’s insurance for general medical service, infertility diagnostic service, infertility treatment service, obstetrical care service, etc.
- Determine and communicate patient financial responsibility based on pre-certification, prior to any procedures and obtain written pre-authorization documentation.
- Identify patients eligible to proceed with ART care, provide ART Financial Consult, and obtain payments prior to care, in accordance with Care Center guidelines.
- Serve as a resource to Care Teams regarding insurance coverage limitations on a patient’s care plan.
- Other duties assigned.
Benefits
- Generous Paid time-off (PTO) and paid holidays
- Medical, Dental, and Vision Insurance
- Health benefits eligible the first day of the month following your start date.
- 401(k) Plan with Company Match (first of the month following 2 months of service)
- Basic & Supplement Life Insurance
- Employee Assistance Program (EAP)
- Short-Term Disability
- Flexible spending including Dependent Care and Commuter benefits.
- Health Savings Account
- CCRM Paid Family Medical Leave (eligible after 1 year)
- Supplemental Options (Critical Illness, Hospital Indemnity, Accident)
- Professional Development, Job Training, and Cross Training Opportunities
- Potential for Over-time Pay (Time and a half)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
