Patient Financial Counselor
About The Position
CCRM Fertility is hiring a Patient Financial Counselor for a new clinic. CCRM Fertility provides fertility treatment, research, and related services, including IVF, fertility testing, egg freezing, preimplantation genetic testing, third-party reproduction, and egg donation. The Patient Financial Counselor coordinates the financial aspects of patient care while supporting a positive patient experience. The role educates patients about financial services and insurance payment timelines, remains available as a resource on financial matters, and helps ensure an efficient revenue cycle and improved patient satisfaction and financial outcomes. The position involves verifying insurance, collecting payments, coordinating pre-certifications and pre-authorizations, determining and explaining patient financial responsibility, and consulting with eligible patients about ART financial matters. The role also serves as the main patient contact for financial questions and supports Care Teams with information about insurance coverage limitations. The position reports to the Patient Engagement Manager. The work involves regular communication, frequent desk and computer work, and prolonged periods preparing and analyzing data and figures. Occasional standing, walking, and use of hands and arms are required. Close visual acuity is needed for computer viewing, extensive reading, and operating office equipment.
Requirements
- High school diploma or GED required.
- Ability to work weekends, evenings, and holidays on a rotating basis.
Nice To Haves
- At least 1 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.
- Confirm 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.
- 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 diagnostic and treatment services, 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 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 a patient’s care plan.
- Perform other duties as assigned.
Benefits
- Paid time off (PTO) and paid holidays
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) plan with company match
- Basic and supplemental life insurance
- Employee Assistance Program (EAP)
- Short-term disability
- Flexible spending accounts, including dependent care and commuter benefits
- Health Savings Account
- Paid family medical leave, eligible after 1 year
- Supplemental options: 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 pay of $4.00 per hour
- Health benefits eligible the first day of the month following start date
- Flexible work arrangements
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
