First Fertility

Role Description The Director of Revenue Cycle Management (RCM) oversees all aspects of the revenue cycle process, including claims management, authorization workflows, and document management. The role is responsible for building and leading a high-performing team that prioritizes a customer-centric approach to revenue cycle operations, ensuring both strategic and financial success. The Director models First Fertility’s core values: Patient-First Care, Make a Difference, Embrace Everyone, Lead With Integrity, and a Culture of Curiosity — while fostering strong relationships within the organization and with external stakeholders. What You’ll Do - Leadership & Strategy - Develop and execute strategic initiatives to optimize revenue cycle operations, ensure regulatory compliance, and promote a collaborative team culture. - Lead, mentor, and develop a high-performing revenue cycle team, establishing systems for performance management, accountability, and continuous improvement. - Revenue Cycle Operations & Optimization - Oversee end-to-end revenue cycle functions including billing, coding, claims processing, collections, and payer relations. - Track key performance metrics, implement data-driven process improvements, and manage payer relationships to maximize reimbursement and minimize denials. - Claims & Compliance - Oversee held claims resolution, denial follow-ups, and authorization workflows in coordination with Clinical, Scheduling, and Medical Records teams. - Ensure compliance with Medicare, Medicaid, state-specific regulations, and HIPAA requirements; conduct revenue cycle investigations to resolve operational barriers and manage aged accounts. Qualifications - Bachelor’s degree required. - Minimum 10 years of revenue cycle experience (fertility healthcare billing preferred), with at least 3 years in a director-level role overseeing a large remote, in-house, and offshore team. - Strong knowledge of billing and EMR systems, operating dashboards, medical terminology, payer regulations, and financial analysis within the fertility industry. - Proven people leader with experience developing billing teams and building inclusive, high-performing cultures. Schedule This is a fully remote, full-time position. Core hours are Monday through Friday, 8:00 AM–4:00 PM EST. Benefits - Competitive salary of $130,000–$160,000 annually plus bonus eligibility. - Comprehensive benefits. - Collaborative team environment where your leadership will shape the future of our revenue cycle operations.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Financial Services Representative (FSR) plays a critical role in supporting patients through the financial aspects of fertility care. This position is responsible for: - Insurance verification - Financial counseling - Treatment cost estimates - Payment coordination for fertility services, including diagnostic testing and treatment The FSR serves as a knowledgeable, compassionate resource for patients navigating complex coverage and payment options. Key Responsibilities - Patient Financial Counseling - Provide clear, empathetic financial counseling to patients regarding fertility treatment costs, insurance benefits, and out-of-pocket responsibilities - Review treatment plans with patients and explain financial obligations prior to the start of care - Assist patients with understanding coverage for diagnostic services, infertility treatments, IVF, IUI, fertility preservation, and related medications - Insurance Verification & Authorization - Verify insurance eligibility and benefits for infertility and reproductive services - Obtain prior authorizations and referrals as required - Communicate with insurance carriers to resolve benefit questions, denials, and coverage discrepancies - Billing & Payment Coordination - Generate accurate treatment estimates/consents and collect payments according to clinic policy coordinating with third-party financing programs as needed - Ensure financial clearance prior to services/treatment start dates - Complete verification of superbills in a timely manner monitoring accounts for accuracy and completeness - Collaboration & Documentation - Work closely with physicians, nursing staff, and clinical coordinators to align financial and clinical workflows - Maintain accurate and timely documentation in the electronic medical record (EMR) and billing systems - Support compliance with clinic policies, payer requirements, and HIPAA regulations - Patient Advocacy & Support - Serve as a patient advocate by addressing financial concerns with professionalism, discretion, and sensitivity - Respond promptly to patient inquiries via phone, email, and in person - Contribute to a positive patient experience during what can be a highly emotional treatment journey Qualifications - High school diploma or equivalent - Minimum of 2 years’ experience in medical billing, insurance verification, or financial counseling - Strong understanding of insurance plans, benefits, and prior authorization processes - Excellent communication, organizational, and customer service skills Preferred Qualifications - Experience in infertility, reproductive endocrinology, OB/GYN, or specialty medical practice - Familiarity with ART procedures and fertility benefit structures - Experience with EMR and practice management systems - Associate’s or Bachelor’s degree in healthcare administration, business, or related field Skills & Competencies - Compassionate and patient-centered approach - Ability to explain complex financial and insurance information clearly - Strong attention to detail and accuracy - Ability to manage multiple priorities in a fast-paced clinical environment - Professionalism and discretion when handling sensitive information Work Environment - Remote home office location

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Financial Services Representative (FSR) plays a critical role in supporting patients through the financial aspects of fertility care. This position is responsible for: - Insurance verification - Financial counseling - Treatment cost estimates - Payment coordination for fertility services, including diagnostic testing and treatment The FSR serves as a knowledgeable, compassionate resource for patients navigating complex coverage and payment options. Key Responsibilities - Patient Financial Counseling - Provide clear, empathetic financial counseling to patients regarding fertility treatment costs, insurance benefits, and out-of-pocket responsibilities - Review treatment plans with patients and explain financial obligations prior to the start of care - Assist patients with understanding coverage for diagnostic services, infertility treatments, IVF, IUI, fertility preservation, and related medications - Insurance Verification & Authorization - Verify insurance eligibility and benefits for infertility and reproductive services - Obtain prior authorizations and referrals as required - Communicate with insurance carriers to resolve benefit questions, denials, and coverage discrepancies - Billing & Payment Coordination - Generate accurate treatment estimates/consents and collect payments according to clinic policy - Ensure financial clearance prior to services/treatment start dates - Complete verification of superbills in a timely manner monitoring accounts for accuracy and completeness - Collaboration & Documentation - Work closely with physicians, nursing staff, and clinical coordinators to align financial and clinical workflows - Maintain accurate and timely documentation in the electronic medical record (EMR) and billing systems - Support compliance with clinic policies, payer requirements, and HIPAA regulations - Patient Advocacy & Support - Serve as a patient advocate by addressing financial concerns with professionalism, discretion, and sensitivity - Respond promptly to patient inquiries via phone, email, and in person - Contribute to a positive patient experience during what can be a highly emotional treatment journey Qualifications - High school diploma or equivalent - Minimum of 2 years’ experience in medical billing, insurance verification, or financial counseling - Strong understanding of insurance plans, benefits, and prior authorization processes - Excellent communication, organizational, and customer service skills Preferred Qualifications - Experience in infertility, reproductive endocrinology, OB/GYN, or specialty medical practice - Familiarity with ART procedures and fertility benefit structures - Experience with EMR and practice management systems - Associate’s or Bachelor’s degree in healthcare administration, business, or related field Skills & Competencies - Compassionate and patient-centered approach - Ability to explain complex financial and insurance information clearly - Strong attention to detail and accuracy - Ability to manage multiple priorities in a fast-paced clinical environment - Professionalism and discretion when handling sensitive information Work Environment - Remote home office location