Cryopreservation Billing Specialist
US Fertility
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $25 - $26 per hour
Job Level
JuniorMid-Level
About the role
- Submit and track insurance authorization requests for cryo-storage services.
- Monitor pending authorizations and follow up with insurance carriers to prevent delays.
- Accurately post charges and submit claims to payers.
- Conduct timely follow-ups on unadjudicated and unpaid claims.
- Run monthly reports to identify upcoming insurance renewals and initiate necessary actions.
- Coordinate and attend meetings with insurance representatives to ensure timely authorizations and payments.
- Run monthly denial reports and analyze payer trends.
- Work denials by correcting, resubmitting, or appealing claims as appropriate.
- Adjust accounts in accordance with denial findings and payer requirements.
- Provide feedback to leadership and other departments to prevent recurring denials.
- Review and investigate accounts flagged for collections.
- Perform pre-listing reviews to confirm accounts meet criteria for collections.
- Collaborate with collections agencies when accounts are approved for transfer.
- Communicate with patients and insurance companies as needed to resolve outstanding balances.
- Work directly with other internal departments (e.g., billing, patient services, operations) to resolve account discrepancies.
- Provide monthly and ad hoc reporting to management on claim status, denials, collections, and authorization trends.
- Identify process improvements to enhance efficiency and reduce claim denials or delays.
Requirements
- High School Diploma acceptable with appropriate hands-on experience.
- Minimum 2 years’ experience in healthcare preferred
- Billing, collection and fertility experience preferred
- Computer proficiency required.
- Excellent spreadsheet skills
- Medical software program experience required.
- Knowledge of office procedure and office machines (i.e. computer, fax, copier, etc.).
- Ability to demonstrate good judgment.
- Excellent interpersonal skills and ability to work as part of a multi-disciplinary team and build and maintain effective working relationships.
- Strong customer service and results orientation; highly responsive to requests.
- Excellent verbal & written communication skills.
- Ability to maintain the highest level of confidentiality.
- Flexibility and willingness to always learn.
- Excellent multi-tasking abilities
Benefits
- Medical, dental, and vision insurance
- 401(k) with company match
- Tuition assistance
- Performance-based bonus opportunities
- Generous paid time off
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance authorizationclaims submissionbillingcollectionsdata analysisreportingprocess improvementmedical softwarespreadsheet skillsaccount adjustments
Soft skills
interpersonal skillscustomer servicecommunication skillsjudgmentteam collaborationflexibilitymulti-taskingresults orientationconfidentialityproblem-solving