Patient Billing Representative

How You Will Make an Impact: The Patient Billing Representative plays an integral part of the patient care journey, ensuring patients leave the healthcare facility with a clear understanding of their medical care and financial responsibilities. This role involves providing exceptional customer service, managing the discharge process efficiently, and facilitating a smooth transition for patients as they continue their treatment journey with CCRM Fertility.

What You Will Do:The Patient Billing Representative is responsible for managing the patient discharge process, ensuring accurate billing, collecting payments, providing necessary instructions, and facilitating a seamless transition for patients leaving the Care Center. This role serves as a point of contact for patients, addressing inquiries and providing exceptional customer service during the discharge process, and assisting inter-company customers with questions regarding insurance matters, current account status, and billing questions. The Patient Billing Representative reports to the RCM Supervisor.

• Complete Patient Billing procedures including charge posting, payment posting, executing adjustments as appropriate, and special patient financial programs.
• Respond to patient questions regarding their account; research self-pay and insurance account activity to provide accurate responses and required actions.
• Conduct “Next-day” financial review and identify outstanding patient balances; attempt to collect and ensure all efforts are recorded in practice management system.
• Review EMR to ensure all services rendered and diagnoses are properly coded properly.
• Review, correct, and submit billing claims to the patient’s insurance provider.
• Other duties as assigned.

• 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.

Working Conditions:The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with others, frequently required to sit at a desk, work on a computer, and spend prolonged periods preparing and analyzing data and figures. Will occasionally stand and/or walk; use hands and fingers to grasp, pick, pinch, type; and reach with hands and arms. Employees are required to have close visual acuity to perform an activity such as viewing a computer terminal; extensive reading; operation of standard office machines and equipment (computer, telephone, photocopier, and scanner).

Pre-Employment Requirements:All offers of employment are conditional upon the successful completion of CCRM Fertility’s onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees.

EqualEmployment/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.