Job Details

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Financial Counselor Support 20%

• Take incoming calls that are related to billing questions for services received at CRM.
• Verify discount were applied to charges if non-covered benefits.
• Verify billing diagnosis code, send for review if appropriate.
• Provide codes and/or costs of services.
• Review Daily Schedule (DAR) for any patients who need to sign waivers (agreement to pay or ABN for Medicare), pre-pay or need to discuss financial concerns.
• Run Charge Reconciliation Report for the department to review past days? charges for correct billing codes and diagnosis codes.
• Obtain referrals and authorizations for office visits and procedure as appropriate.
• Call Insurance company to verify benefits and authorization requirements.
• Help with any charge entry and/or questions regarding charge entry (ART labs charges, HOV?s).
• Prepare spreadsheets for our Livestrong Program (Sharing Hope) Patients who can receive fertility preservation at a package price. Track the charges and once treatment is complete. send spreadsheet over to KMS to have the service charges reduced to the package price.
• Serve as an Expert in area of UM employee benefits for IVF
• Monitor work queues for edits, authorizations, or referral needs.
• Monitor patient accounts for outstanding balances and reinforce clinic financial policy.
• IN basket management.

Clerical 80%

• Provide clinical business process support in a busy Reproductive Endocrinology and Infertility Clinic.  
• Provide excellent customer service to patients by facilitating business processes including scheduling appointments by phone and in person and performing check in and check out.  
• Schedule various complex procedures and instruct patients in proper test preparation.  
• Complete financial documents and collect payments from patients using established guidelines.  
• Triage patient phone calls based on clinic policies.  
• Verify insurance eligibility, ensure referral and other authorization requirements are met for optimal reimbursement.  
• Provide general clinic clerical d