Medical Claims Coordinator

Boston IVF • Full-time • Waltham, MA, US • 4d ago

Boston IVF is a leader in reproductive health, dedicated to helping individuals and couples grow their families through compassionate, personalized care. With decades of experience, advanced research, and a commitment to excellence, we have been at the forefront of fertility treatment, supporting our patients' dreams of parenthood. Our team is composed of skilled professionals who work collaboratively to deliver the highest standards in patient care, innovation, and results.

Position Overview:

We are seeking a dedicated and detail-oriented Billing Specialist to join our team. This role is vital to ensuring accurate and timely reimbursement for our infertility services and requires a blend of technical billing expertise and exceptional customer service skills.

Key Responsibilities:

Review payer remittances for rejections or incorrect payments, and follow up promptly on unpaid claims.
Communicate with payers to address issues, resubmit, and/or appeal claims within required timelines.
Audit and review charges, fostering positive relationships with both payers and internal staff.
Handle accounts receivable efficiently to maintain an acceptable balance.
Conduct monthly reviews of insurance follow-up reports.
Respond to phone inquiries from patients and others, resolving billing issues with professionalism and care.
Perform additional duties as assigned.

Authority & Reporting:

This role operates under the direct supervision of the Billing/Operations Manager, with all questions and escalations directed to the manager.

Qualifications:

Minimum of 1 year of billing experience, ideally with a background in infertility services, claims processing, coding, and payer contracts. - preferred
Strong attention to detail, organizational skills, and the ability to multitask effectively.
Problem-solving abilities, excellent customer service skills, and the ability to work collaboratively within a team.
Proficiency with computer systems and software.

Benefits: