Senior Billing Specialist for a Busy Infertility Practice -ONSITE

Position Overview

We are seeking an experienced Billing Specialist to join our busy infertility practice. The ideal candidate is preferred to have billing experience in women's health care.

This role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to women’s health.

Key Responsibilities
 Submit clean claims accurately and timely through our EMR system
 Review and resolve claim rejections and denials across all insurance platforms
 Follow up with insurance companies on unpaid claims
 Post insurance and patient payments accurately in our EMR system
 Work aging reports and outstanding AR

 Review patient accounts for billing accuracy and follow-up needs
 Handle billing corrections, resubmissions, and appeals
 Communicate with registration/front desk, clinical staff, and management to resolve   billing issues
 Maintain compliance with payer rules and billing regulations
 Help improve collections, reduce denials, and optimize overall revenue cycle performance

Qualifications
Minimum [3] years of medical billing experience in women’s health care
insurance claim submission and follow-ups
Denial management and appeals
Payment posting
Patient balances and account review
Eligibility and benefits verification
OB/Gyn coding and billing workflows
Understanding of commercial insurance
Knowledge of CPT, ICD-10, and HCPCS coding relevant to OB/GYN
Strong attention to detail and accuracy
Ability to work independently and efficiently in a fast-paced practice
Global billing
Gynecologic procedures

Surgical claims
Ultrasound and in-office procedures
Familiarity with prior authorizations, claim edits, and payer-specific billing requirements

Knowledge of Infertility a plus

Skills and Attributes
Organized, dependable, and detail-oriented
Strong problem-solving and follow-through
Professional communication skills
Maintain confidentiality and professionalism at all times

Strong knowledge of OB/GYN or Infertility billing

Knowledge of using Insurance platforms such as Availty, UHC, Cigna, and more

eIVF emr knowledge a plus

Compensation package
Competitive pay based on experience
Benefits: Medical, Dental, Vision, PTO, Retirement plans