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Financial Services Representative

Financial Planning and AnalysisFinancial Planning and AnalysisOtherRemoteTeam 51-200

Location

United States

Posted

104 days ago

Salary

0

No structured requirement data.

Job Description

Financial Services Representative

First Fertility

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

Job Requirements

  • 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

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