The Patient Accounting Representative must demonstrate knowledge and skills in all aspects of patient accounting, medical billing, and managed care/insurance. The position is responsible for the daily coordination of many aspects of patient billing, as listed in the responsibilities below. This position takes direction from the Billing Manager or delegated manager and should function independently in the role. Must be well-organized, self-motivated, excellent problem solver, and possess excellent communication skills.

What You’ll Do Every Day

• Assist intercompany customer with questions regarding insurance matters, current account status and billing questions.
• Record every conversation or account task to allow other business office staff to follow-up appropriately for patient’s further questions/needs.
• Assists in taking care of patients’ statement balances whenever money is owed by utilizing the patient’s credit card on file.
• Accurately does daily write-ups from previous day’s work and posts all payments processed in Retriever or by check or cash.
• Accurately posts charges from superbills. Sends out statements when patient owes money after charges are posted. Provide copies of insurance claim forms after posting charges, as requested by patient.
• Assists with the “cleaning up” of patient accounts as applicable.
• Accurately post charges for ART cycles and surgeries. Sends notifications to Patient Finance Services department when patient owes money after charges are posted. Provide copies of insurance claim forms after posting charges, as requested by patient.
• Accurately posts insurance and patient payments received from patient visits and/or received by mail.
• Coordinates the billing of procedures to insurance companies when the patient’s insurance covers the procedures, per business office policy.
• Follows up with insurance providers regarding wrong reimbursements, low reimbursements, and/or incorrect insurance denials. This may include sending insurance appeals along with the necessary documentation to facilitate payment.
• Review patient accounts and electronic medical record information to determine that the correct services were billed in comparison with the services rendered.
• Other specific duties as assigned.

Other Duties

Required Knowledge, Skills and Abilities

• Must be organized and possess knowledge and skills in business office functions, managed care, and intercompany customer service.
• Ability to multi-task, prioritize and be detail oriented.
• Excellent customer services skills along with good communication skills.
• Possess a high level of independent judgment and accuracy.
• Ability to coordinate many projects and tasks simultaneously.
• Ability to demonstrate problem-solving skills related to patient billing and accounts.

Education and Experience

• High school diploma required.
• A minimum of one-year previous experience related to medical billing required.
• Previous experience in reproductive medicine patient billing preferred.

Supervisory Responsibilities

This job operates in a professional office. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets.

While performing the duties of this job, the employee is regularly required to communicate with others. The employee is frequently required to sit; will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; viewing a computer terminal; extensive reading; operation of standard office machines and equipment.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Why Join CCRM Fertility?

What we Offer our Team Members

• Competitive pay and bonus opportunity
• Medical, dental and vision benefits
• 401(k) with Company match
• Paid time off and holiday time
• Professional development opportunities
• Job training and cross training opportunities

FLSA Status

Pre-Employment Requirements

Who Is CCRM Fertility?

CCRM Fertility has 34 locations in North America, serving patients in 12 major metropolitan areas, including Atlanta, Boston, Dallas-Fort Worth, Denver, Houston, New Jersey, New York, Northern Virginia, Minneapolis, Orange County, San Francisco Bay Area, and Toronto.

CCRM Fertility is a proud strategic partner of Unified Women’s Healthcare, a focused women’s health company that strategically operates, affiliates, or invests in business that drive better outcomes and experiences for patients for every milestone and moment of her healthcare journey. For more information, visit www.ccrmivf.com.

Equal Employment/Anti-Discrimination

We are an equal opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.